Individual provider Active NPI

Emily S Davis, DPT

  • Physical Therapist
  • Saint Louis, MO
National Provider Identifier
1225736200
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2023005155 Issued in MO
Practice address
4020 Butler Hill Rd
Saint Louis, MO 63129-1500
Phone
(314) 487-6644
NPI assigned
Feb 20, 2023
Last updated
Feb 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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 2023005155 MO Primary

Addresses

Primary practice location

4020 Butler Hill Rd
Saint Louis, MO 63129-1500

Mailing address

14515 N Outer 40 Rd Ste 110
Chesterfield, MO 63017-5746
Phone (314) 434-8680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230309001514 MO Practitioner - Physical Therapist in Private Practice 3173996360 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Training and Rehab LLC Physical Therapist CurrentSince Feb 20, 2023 Accepting new patients
Atr Hand Therapy LLC Physical Therapist PastSince Feb 26, 2023 Accepting new patients

Locations

333 S Kirkwood Rd
Ste 201
Saint Louis, MO 63122
Phone (314) 909-0517

4020 Butler Hill Rd
Saint Louis, MO 63129
Phone (314) 487-6644

4044 Butler Hill Rd
Saint Louis, MO 63129
Phone (314) 487-6644

14515 North Outer 40 Rd
Ste 110
Town and Country, MO 63017
Phone (314) 434-6060

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1225736200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14515 N OUTER 40 RD STE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175746",
            "telephone_number": "314-434-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 BUTLER HILL RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291500",
            "telephone_number": "314-487-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EMILY",
        "middle_name": "S",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2023005155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.