Individual provider Active NPI

Joseph Davis, DPT

  • Physical Therapist
  • Sun City West, AZ
National Provider Identifier
1194330613
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31525 Issued in AZ
Practice address
14418 W Meeker Blvd Ste 301
Sun City West, AZ 85375-5292
Phone
(623) 888-3450
NPI assigned
Sep 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X P19808 NC
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X LPT-31525 AZ Primary

Addresses

Primary practice location

14418 W Meeker Blvd Ste 301
Sun City West, AZ 85375-5292

Mailing address

14418 W Meeker Blvd Ste 301
Sun City West, AZ 85375-5292
Phone (623) 888-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210625001184 AZ Practitioner - Physical Therapist in Private Practice 2668873894 Reassigns benefits to 1 organization
I20241126001699 TX Practitioner - Physical Therapist in Private Practice 2668873894 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19808NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Mar 23, 2021 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Single Specialty CurrentSince Sep 8, 2024 Accepting new patients
BHSM Rehabilitation LLC CurrentSince Mar 23, 2021 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Single Specialty Current Accepting new patients
BHSM Rehabilitation, LLC Single Specialty Current Accepting new patients

Locations

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

5605 W Eugie Ave
Ste 215
Glendale, AZ 85304
Phone (480) 210-6445

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

10503 W Thunderbird Blvd
Ste 200
Sun City, AZ 85351
Phone (623) 537-9730

14418 W Meeker Blvd
Ste 301
Sun City West, AZ 85375
Phone (623) 524-4038

1972 E Baseline Rd
Ste 103
Tempe, AZ 85283
Phone (480) 730-0501

265 W Ina Rd
Rm 103
Tucson, AZ 85704

707 N Alvernon Way
Ste 203
Tucson, AZ 85711
Phone (520) 694-8065

2800 E Ajo Way
Ste 201
Tucson, AZ 85713
Phone (520) 462-0248

1550 W Craig Rd
Ste 210
North Las Vegas, NV 89032
Phone (702) 343-0623

Organizations & group practices 6

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": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1194330613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14418 W MEEKER BLVD STE 301",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755292",
            "telephone_number": "623-888-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14418 W MEEKER BLVD STE 301",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755292",
            "telephone_number": "623-888-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-11",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19808",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.