Bethany Anne Davenport, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2075 Issued in TN

Practice address

8017 Dogwood LN
Milan, TN 38358

Phone

(731) 686-8373

Fax

(731) 686-2154

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205919859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 WEATHERIDGE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383059651",
            "telephone_number": "731-686-8373",
            "fax_number": "731-686-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8017 DOGWOOD LN",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "38358",
            "telephone_number": "731-686-8373",
            "fax_number": "731-686-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "BETHANY",
        "middle_name": "ANNE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "2075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Health Care of Milan, Inc. (MIlan Health Care Center)
• Joel S Craig, DPM
• Taylor Ann Skelton Crouse, PT
• Shera Cody Culp, MS CCC-SLP
• Katherine Hames Cummings, PA-C
• Jean Davis, D.O.
• Jesse A Dean III, D.C.
• Ashley Lynn Deeter, DC
• Dennis W Wilson PHD PLLC
• Dr Jennifer J Pitts

• Physical Therapist in Milan, TN
• Providers in Milan, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.