Ann Davis, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2587 Issued in OH

Practice address

12221 Madison Ave
Lakewood, OH 44107-5029

Phone

(216) 221-2525

NPI assigned

Jul 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Re Hab Professionals of Cleveland,Inc.

  • Physical Therapy Clinic/Center
  • Lakewood, OH
  • NPI 1659567113
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154352565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3967 COLUMBIA RD",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702125",
            "telephone_number": "440-777-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441075029",
            "telephone_number": "216-221-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "2587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2582183",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "137836",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "300629551005",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Renee Dancie, LPN
• Daniel Mazzeo Services, LLC
• Amy Arszman Daso, MD
• David J Francati DDS / Sherry L Waters DDS
• David T Jonke DDS Inc
• Douglas Davis
• Latoria Davis, QMHS
• Christine Ann Dearth, CNP
• Hannah Nicole Decker, PA
• Genaro Alejandro Deleon, MD

• Physical Therapist in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Physical Therapist in Ohio

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