Active NPI
Davonne Berry, PTA
- Physical Therapy Assistant
- Pflugerville, TX
National Provider Identifier
1245084128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2181441
- Practice address
- 1202 FM 685 Ste C3
Pflugerville, TX 78660-2913 - Phone
- (512) 450-1300
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2181441 | TX | Primary |
Addresses
Primary practice location
1202 FM 685 Ste C3
Pflugerville, TX 78660-2913
Mailing address
1202 FM 685 Ste C3
Pflugerville, TX 78660-2913
Phone (512) 450-1300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2181441 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Sports Medicine LLP | Current | Accepting new patients |
Locations
1202 FM 685
Ste C3
Pflugerville, TX 78660
Phone (512) 450-1300
Interoperability endpoints
- https://api.platform.athenahealth.com/30366/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Austin, TX
- NPI 1770553653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1245084128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 FM 685 STE C3",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786602913",
"telephone_number": "512-450-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 FM 685 STE C3",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786602913",
"telephone_number": "512-450-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "DAVONNE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2181441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.