Active NPI
Kathleen Patricia Davis, PT, DPT, ATC
- Physical Therapist
- Armonk, NY
National Provider Identifier
1154920460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046462
- Practice address
- 130 Business Park Dr
Armonk, NY 10504-1727 - Phone
- (914) 273-3414
- NPI assigned
- Oct 19, 2020
- Last updated
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 046462 | NY | Primary |
Addresses
Primary practice location
130 Business Park Dr
Armonk, NY 10504-1727
Mailing address
35 Sutherland Dr
Highland Mills, NY 10930-3011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046462 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1154920460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SUTHERLAND DR",
"city": "HIGHLAND MILLS",
"state": "NY",
"postal_code": "109303011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 BUSINESS PARK DR",
"city": "ARMONK",
"state": "NY",
"postal_code": "105041727",
"telephone_number": "914-273-3414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KATHLEEN",
"middle_name": "PATRICIA",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Armonk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.