Individual provider Active NPI

Colton Chase Davidson

  • Physical Therapist
  • Kaufman, TX
National Provider Identifier
1174053102
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1289547 Issued in TX
Practice address
709 Ed Hall Dr Ste B
Kaufman, TX 75142-1878
Phone
(972) 608-3939
Fax
(972) 608-3938
NPI assigned
Jun 13, 2017
Last updated
May 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1289547 TX Primary

Addresses

Primary practice location

709 Ed Hall Dr Ste B
Kaufman, TX 75142-1878

Mailing address

638 Uptown Blvd Ste 110
Cedar Hill, TX 75104-3539

Other practice location 1

638 Uptown Blvd Ste 110
Cedar Hill, TX 75104-3539
Phone (469) 272-3129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703002545 TX Practitioner - Physical Therapist in Private Practice 7113252610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

850 Ed Hall Dr
Kaufman, TX 75142-1861
Phone (972) 932-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1289547TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Past Accepting new patients
Green Oaks Physical Therapy Limited Partnership Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1174053102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 UPTOWN BLVD STE 110",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 ED HALL DR STE B",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751421878",
            "telephone_number": "972-608-3939",
            "fax_number": "972-608-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "638 Uptown Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751043539",
            "country_code": "US",
            "telephone_number": "469-272-3129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "COLTON",
        "middle_name": "CHASE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1289547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.