Michele Lee Davison, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

301500 Issued in CA

Practice address

3450 Bonita Rd Ste 105
Chula Vista, CA 91910-3249

Phone

(619) 425-1084

Fax

(619) 425-1858

NPI assigned

Mar 16, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Embrace Physical Therapy & Wellness LLC

  • Physical Therapist
  • Wellington, OH
  • NPI 1588421457
  NPD Authorized official
• Novacare Rehabilitation of Ohio Inc

  • Physical Therapy Clinic/Center
  • Beechwood, OH
  • NPI 1740447895
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1124776281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 RUFFIN RD STE J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231830",
            "telephone_number": "858-279-5570",
            "fax_number": "858-279-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 BONITA RD STE 105",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103249",
            "telephone_number": "619-425-1084",
            "fax_number": "619-425-1858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3959 Ruffin Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231830",
            "country_code": "US",
            "telephone_number": "858-279-5570",
            "fax_number": "858-279-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathryn Davis, RN
• Sarah Katherine Davis, LM, CPM
• Shannon Davis, PT, DPT
• Stephanie Davis
• Kayla Nichole Davison
• Farah Zuhair Dawood, MD MS
• Rebecca Corrales Dawson, BS, CAADAC, CATC
• Trish Dawson
• Amy Lightner Day, M.D.
• Maria Christina De Jesus Dayrit

• Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.