Rebecca Tyler Davis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

663 Jordan St
Shreveport, LA 71101-4748

Phone

(318) 222-8892

Fax

(182) 228-8933

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Louisiana State University School of Medicine in Shreveport, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brewer Physical Therapy and Associates LLCGroup PAC ID 9931275419, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Brewer Physical Therapy & Associates LLC

  • Physical Therapy Clinic/Center
  • Shreveport, LA
  • NPI 1477709681
  Medicare reassignment Care Compare group NPD
• Laborde Hand and Occupational Therapy Center

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1316275027
  NPD (past)
• Sacred Heart University, Inc

  • Physical Therapist
  • Fairfield, CT
  • NPI 1154678928
  NPD (past)
• Select Physical Therapy Texas Limited Partnership

  • Physical Therapy Clinic/Center
  • Houston, TX
  • NPI 1356304323
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1134344476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014748",
            "telephone_number": "318-222-8892",
            "fax_number": "318-222-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014748",
            "telephone_number": "318-222-8892",
            "fax_number": "182-228-8933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Mbl Bank Dr",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "LA",
            "postal_code": "710552900",
            "country_code": "US",
            "telephone_number": "318-639-9536",
            "fax_number": "318-639-9537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Stockwell Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711117027",
            "country_code": "US",
            "telephone_number": "318-747-2911",
            "fax_number": "318-747-8893",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4970 Barksdale Blvd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711124677",
            "country_code": "US",
            "telephone_number": "318-747-8892",
            "fax_number": "318-747-8893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "REBECCA",
        "middle_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "007900",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nedra Davis
• Paul Corkran Davis, M.D.
• Paul Michael Davis, M.D.
• Randall I Davis, MD
• Raven Hargrove Davis, PA-C
• Robert Weyland Davis Jr., RPH
• Sankeithea Davis
• Shanna Davis
• Shayrod Ladon Davis
• Shonquanisia Davis

• Physical Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.