Michael G. Davis

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MICHAEL G. DAVIS

Doing business as

Ceres Physical Therapy and Rehab

Practice address

1941 Mitchell Rd
Suite K
Ceres, CA 95307-2434

Phone

(209) 538-4730

Fax

(209) 538-4794

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Miss Cindy Yvonne Wood

Title

Office Coordinator

Phone

(209) 538-4730

Specialties & licenses 1

Addresses

Other names 1

• Ceres Physical Therapy and Rehab Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael G Davis, P.T.

  • Physical Therapist
  • Ceres, CA
  • NPI 1184735144
  NPD (past)
• Steve Larsen, P.T.

  • Physical Therapist
  • Ceres, CA
  • NPI 1699886689
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1134248339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 MITCHELL RD",
            "address_2": "SUITE K",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072434",
            "telephone_number": "209-538-4730",
            "fax_number": "209-538-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 MITCHELL RD",
            "address_2": "SUITE K",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953072434",
            "telephone_number": "209-538-4730",
            "fax_number": "209-538-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. DAVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "209-538-4730",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ceres Physical Therapy and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Mendoza
• Maricella Perez Mendoza, CADC 1
• Ruel Francis Mendoza
• Shantel Merlis
• Michele Methvin
• Omar Michmali, VOCATIONAL NURSE
• Mid-Valley Health Services, LLC (Mid-Valley Health Services)
• Dan Ray Middleton, CST1
• Sara Nicole Middleton, BHS
• Jessica Danette Miller

• Physical Therapist in Ceres, CA
• Providers in Ceres, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.