Individual provider Active NPI

Delanie J Davis, DPT, PT

  • Physical Therapist
  • Shreveport, LA
National Provider Identifier
1194603795
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP051617T Issued in LA
Practice address
663 Jordan St
Shreveport, LA 71101-4748
Phone
(318) 222-8892
Fax
(318) 222-8893
NPI assigned
Aug 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8049 MS
Physical Therapist 225100000X CP048965T VA
Physical Therapist 225100000X CP051617T LA Primary

Addresses

Primary practice location

663 Jordan St
Shreveport, LA 71101-4748

Mailing address

663 Jordan St
Shreveport, LA 71101-4748
Phone (318) 222-8892

Other practice location 1

30 Catoctin Cir SE Ste 112
Leesburg, VA 20175-3614
Phone (571) 918-0197

Other practice location 2

13039 Worldgate Dr
Herndon, VA 20170-4374
Phone (703) 689-3164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, LA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250913000038 DC Practitioner - Physical Therapist in Private Practice 7719480896 Reassigns benefits to 1 organization
I20251024000701 VA Practitioner - Physical Therapist in Private Practice 7719480896 Reassigns benefits to 1 organization
I20260123000839 LA Practitioner - Physical Therapist in Private Practice 7719480896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Clinics Limited PartnershipGroup PAC ID 2860623295, 116 clinicians
Brewer Physical Therapy and Associates LLCGroup PAC ID 9931275419, 18 clinicians

Practice addresses (Care Compare)

30 Catoctin Cir SE
Suite 112
Leesburg, VA 20175-3614
Phone (571) 918-0197

5900 Fort Dr
Suite 208
Centreville, VA 20121-2425
Phone (703) 830-6360

663 Jordan St
Shreveport, LA 71101-4748
Phone (318) 222-8892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP051617TLAMDPhysical Therapist
8049MSMDPhysical Therapist
CP048965TVAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Brewer Physical Therapy & Associates LLC CurrentSince Jan 5, 2026 Accepting new patients
Select Physical Therapy Texas Limited Partnership PastSince Jan 5, 2026 Accepting new patients

Locations

4970 Barksdale Blvd
Ste 900
Bossier City, LA 71112
Phone (318) 747-8892

700 Stockwell Rd
Ste 400
Bossier City, LA 71111
Phone (318) 747-2911

101 Mbl Bank Dr
Minden, LA 71055
Phone (318) 639-9536

663 Jordan St
Shreveport, LA 71101
Phone (318) 222-8892

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

5900 Fort Dr
Ste 208
Centreville, VA 20121
Phone (703) 830-6360

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

13039 Worldgate Dr
Herndon, VA 20170
Phone (703) 689-3164

30 Catoctin Cir SE
Ste 112
Leesburg, VA 20175
Phone (571) 918-0197

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": "1755820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1194603795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014748",
            "telephone_number": "318-222-8892",
            "fax_number": "318-222-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014748",
            "telephone_number": "318-222-8892",
            "fax_number": "318-222-8893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Catoctin Cir SE Ste 112",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201753614",
            "country_code": "US",
            "telephone_number": "571-918-0197",
            "fax_number": "571-918-4253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13039 Worldgate Dr",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201704374",
            "country_code": "US",
            "telephone_number": "703-689-3164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DELANIE",
        "middle_name": "J",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-22",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "8049",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP048965T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "CP051617T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.