Connor Michael Davis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P22955 Issued in NC

Practice address

970 Branchview Dr NE Ste 160
Concord, NC 28025-2234

Phone

(704) 782-1322

NPI assigned

Feb 9, 2024

Last updated

Feb 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Charlotte, NC
  • NPI 1669432175
  Medicare reassignment NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1205690211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 KILBORNE DR APT A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282055377",
            "telephone_number": "704-771-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 BRANCHVIEW DR NE STE 160",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252234",
            "telephone_number": "704-782-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CONNOR",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David U Lipsitz, MD
• Lasheta P. David, O.D.
• Davidson Prosthetics & Orthotics (Renew Prosthetics and Orthotics)
• Cheryl Davis-Woodard
• Christine Marie Davis, AGACNP-BC
• Eddie Dean Davis, PAC
• Emily Annmarie Davis, RDH
• Erikah Bohanan Davis, PMHNP
• Erin Winters Davis
• Gwendolyn M Davis, LCMHC

• Physical Therapist in Concord, NC
• Providers in Concord, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.