Austin Davis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TA3109 Issued in OK

Practice address

35910 US Hwy 27 N
Haines City, FL 33844-3737

Phone

(863) 421-1777

NPI assigned

Mar 26, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1184201949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35910 US HWY 27 N",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443737",
            "telephone_number": "863-421-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35910 US HWY 27 N",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338443737",
            "telephone_number": "863-421-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AUSTIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "TA3109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Cruz
• Yachira Cruz
• Estelita Boholst Dalisay, APRN-C
• Daniel R. Renuart, M.D., P.a. (Railroad Park Pediatrics and Four Corners Pediatrics)
• Davenport Behavioral Center LLC
• Anet Taimy De la Paz Sr.
• Cheryl Elaine De Zayas, M.D.
• Candace C. Deiling, COTA
• Paola Delgado
• Yaimadelys Delgado

• Physical Therapy Assistant in Haines City, FL
• Providers in Haines City, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.