Individual provider Active NPI

Robin Leann Douglas-Davis, PT

  • Physical Therapist
  • Lewisville, TX
National Provider Identifier
1205010949
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1109213 Issued in TX
Practice address
581 Jernigan Rd
Lewisville, TX 75077-8596
Phone
(214) 679-4237
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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 1109213 TX Primary

Addresses

Primary practice location

581 Jernigan Rd
Lewisville, TX 75077-8596

Mailing address

581 Jernigan Rd
Lewisville, TX 75077-8596
Phone (214) 679-4237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1109213TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1205010949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 JERNIGAN RD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750778596",
            "telephone_number": "214-679-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 JERNIGAN RD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750778596",
            "telephone_number": "214-679-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS-DAVIS",
        "first_name": "ROBIN",
        "middle_name": "LEANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1109213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.