Louis Michael Davis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2017018606 Issued in MO

Practice address

509 S Broadway
Oak Grove, MO 64075-8104

Phone

(816) 625-4967

Fax

(816) 625-8376

NPI assigned

May 3, 2017

Last updated

Dec 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy by Phoenix of Springfield LLCGroup PAC ID 9931513645, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Physical Therapy by Phoenix of Springfield LLC

  dba Physical Therapy by Phoenix

  • Physical Therapy Clinic/Center
  • Springfield, MO
  • NPI 1831785559

  Physical Therapist

  NPD

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1164958765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S BROADWAY",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640758104",
            "telephone_number": "816-625-4967",
            "fax_number": "816-625-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LOUIS",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017018606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Jo Castlebury, FNP-C
• Valerie S Converse, MS CCC SLP
• Renie J Craig, PHARM.D
• Crossroads Behavioral Services, LLC
• Davis-Todd Coaching LLC
• Dr S Rovenstine Optometrist PC
• Laurie Easter
• Carly Renae Elms, M.ED., LMSW, CRC
• Exculta Health and Wellness
• Brooke Ann Flaspohler, LMT

• Physical Therapist in Oak Grove, MO
• Providers in Oak Grove, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.