Michele Davis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A03422 Issued in KY

Practice address

209 Evans Ave
Mount Sterling, KY 40353-9700

Phone

(859) 498-0011

Fax

(859) 498-5001

NPI assigned

May 15, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Sterling Physical Therapy & Associates PSC

  • Physical Therapist
  • Mt Sterling, KY
  • NPI 1275684839
  NPD (past)

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1154987162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 EVANS AVE",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403539700",
            "telephone_number": "859-498-0011",
            "fax_number": "859-498-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 EVANS AVE",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403539700",
            "telephone_number": "859-498-0011",
            "fax_number": "859-498-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHELE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A03422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sterlingpt@bellsouth.net",
            "affiliation": "Y",
            "affiliationName": "Sterling Physical Therapy & Associates PSC",
            "address_1": "209 Evans Ave",
            "city": "Mount Sterling",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403539700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lacy Marie Crum
• Andrew Cutler
• Daniel B Manley DMD PSC
• Jesse Davis
• Megan Davis
• Tori R Davis, PHARMD
• Natalie Deering
• Larry Dehart
• Angela Elizabeth Demoss, RPH.
• Dental Health Professionals of Kentucky, P.S.C.

• Physical Therapy Assistant in Mount Sterling, KY
• Providers in Mount Sterling, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.