Active NPI
Ryan Joseph Davis, DPT
- Physical Therapist
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305207442
- Practice address
- 1975 Glenn Mitchell Dr
Suite 200
Virginia Beach, VA 23456-0167 - Phone
- (757) 368-3284
- Fax
- (757) 368-3902
- NPI assigned
- Jul 11, 2012
- Sex
- Male
- 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 | 2305207442 | VA | Primary |
Addresses
Primary practice location
1975 Glenn Mitchell Dr
Suite 200
Virginia Beach, VA 23456-0167
Mailing address
230 Clearfield Ave
Suite 124
Virginia Beach, VA 23462-1832
Phone (757) 321-3383
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C05501 | Other | VA | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6160 Kempsville Cir
Suite 200B
Norfolk, VA 23502-3945
Phone (757) 321-3300
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.32 of 100
- Quality
- 87.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 87.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305207442 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vann-Virginia Center for Orthopaedics PC | Physical Therapist | Current | Accepting new patients |
| Vann-Virginia Center for Orthopaedics PC | Current | Accepting new patients | |
| Vann-Virginia Center for Orthopaedics PC | Physical Therapist | Past | Accepting new patients |
Locations
6160 Kempsville Cir
Ste 200B
Norfolk, VA 23502
Phone (757) 321-3383
1800 Camelot Dr
Ste 300
Virginia Beach, VA 23454
Phone (757) 321-3383
1975 Glenn Mitchell Dr
Ste 200
Virginia Beach, VA 23456
Phone (757) 321-3383
230 Clearfield Ave
Ste 124
Virginia Beach, VA 23462
Phone (757) 321-3383
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Norfolk, VA
- NPI 1639125271
Physical Therapist
-
- Orthopaedic Surgery Physician
- Kill Devil Hills, NC
- NPI 1669169983
-
- Orthopaedic Surgery Physician
- Chesapeake, VA
- NPI 1750604443
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341964800000",
"number": "1194080648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 CLEARFIELD AVE",
"address_2": "SUITE 124",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621832",
"telephone_number": "757-321-3383",
"fax_number": "757-321-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 GLENN MITCHELL DR",
"address_2": "SUITE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234560167",
"telephone_number": "757-368-3284",
"fax_number": "757-368-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RYAN",
"middle_name": "JOSEPH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-11",
"last_updated": "2012-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207442",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "C05501",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.