Active NPI
Claudia Lorraine Davenport, MAPT
- Physical Therapist
- Solvang, CA
National Provider Identifier
1174100473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT12283
- Practice address
- 2028 Village LN Ste 206
Solvang, CA 93463-3223 - Phone
- (805) 680-1246
- Fax
- (805) 617-3920
- NPI assigned
- Mar 24, 2021
- 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 | PT12283 | CA | Primary |
Addresses
Primary practice location
2028 Village LN Ste 206
Solvang, CA 93463-3223
Mailing address
953 Canyon Ridge Rd
Solvang, CA 93463-8705
Phone (805) 216-9477
Other names 1
- Claudia Lorraine Fansler
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT12283 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1174100473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "953 CANYON RIDGE RD",
"city": "SOLVANG",
"state": "CA",
"postal_code": "934638705",
"telephone_number": "805-216-9477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 VILLAGE LN STE 206",
"city": "SOLVANG",
"state": "CA",
"postal_code": "934633223",
"telephone_number": "805-680-1246",
"fax_number": "805-617-3920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "CLAUDIA",
"middle_name": "LORRAINE",
"credential": "MAPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT12283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLAUDIA",
"last_name": "FANSLER",
"middle_name": "LORRAINE",
"credential": "MAPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Solvang, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.