Individual provider Active NPI

Victoria Davis

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1154088912
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4617 W Bailey Boswell Rd
Fort Worth, TX 76179-4327
Phone
(682) 350-4206
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX Primary
Physical Therapist 225100000X FL

Addresses

Primary practice location

4617 W Bailey Boswell Rd
Fort Worth, TX 76179-4327

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

10743 Narcoossee Rd Ste A24
Orlando, FL 32832-6947
Phone (407) 845-7048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NV, WA, IN, NE, MD, AZ, AL, IL, IA10 enrollments

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20230228001767 TX Practitioner - Physical Therapist in Private Practice 5193198802 Reassigns benefits to 1 organization
I20260312003311 NV Practitioner - Physical Therapist in Private Practice 5193198802 Reassigns benefits to 1 organization
I20260313001320 WA Practitioner - Physical Therapist in Private Practice 5193198802 Reassigns benefits to 1 organization
I20260320002036 IN Practitioner - Physical Therapist in Private Practice 5193198802 Reassigns benefits to 1 organization
I20260323002545 NE Practitioner - Physical Therapist in Private Practice 5193198802 Reassigns benefits to 1 organization
I20260526004011 MD Practitioner - Physical Therapist in Private Practice 5193198802 Reassigns benefits to 2 organizations
I20260527002338 AZ Practitioner - Physical Therapist in Private Practice 5193198802 Reassigns benefits to 1 organization
I20260615001496 AL Practitioner - Physical Therapist in Private Practice 5193198802 Reassigns benefits to 1 organization
I20260615002131 IL Practitioner - Physical Therapist in Private Practice 5193198802 Reassigns benefits to 1 organization
I20260617001112 IA Practitioner - Physical Therapist in Private Practice 5193198802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

11620 97TH LN NE
Kirkland, WA 98034-4269
Phone (425) 820-0869

4617 W Bailey Boswell Rd
Fort Worth, TX 76179-4327
Phone (682) 350-4106

5110 S Rural Rd
Suite 104
Tempe, AZ 85282-7289
Phone (480) 629-5549

7820 Wormans Mill Rd C
Ati Physical Therapy
Frederick, MD 21701-3037
Phone (240) 831-7664

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6926NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jan 27, 2026 Accepting new patients
New Century Rehabilitation LLC Physical Therapist CurrentSince Jan 27, 2026 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jul 8, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jan 27, 2026 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jul 8, 2024 Accepting new patients
New Century Rehabilitation, LLC CurrentSince Jan 27, 2026 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

3155 W Craig Rd
Ste 140
North Las Vegas, NV 89032
Phone (702) 639-2333

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

4617 W Bailey Boswell Rd
Fort Worth, TX 76179
Phone (682) 350-4106

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

11620 97th Ln NE
Kirkland, WA 98034
Phone (425) 820-0869

Networks

  • Freedom Health HMO Network

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1154088912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 W BAILEY BOSWELL RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761794327",
            "telephone_number": "682-350-4206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10743 Narcoossee Rd Ste A24",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328326947",
            "country_code": "US",
            "telephone_number": "407-845-7048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.