Individual provider Active NPI

Ryan Joseph Davis, DPT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1194080648
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305207442 Issued in VA
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

Updated by the provider on Jul 11, 2012

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 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

IdentifierTypeStateIssuer
C05501OtherVAMEDICARE GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120802000743 VA Practitioner - Physical Therapist in Private Practice 5395991582 Reassigns benefits to 1 organization

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
Vann-Virginia Center for Orthopaedics PCGroup PAC ID 9133115397, 65 clinicians

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 100Reported as group
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
87.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305207442VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vann-Virginia Center for Orthopaedics PC Physical Therapist CurrentSince Jul 12, 2012 Accepting new patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Jul 12, 2012 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.

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.

Verify at the official NPI Registry.