Active NPI
Martha Tracy Davis, PT
- Physical Therapist
- Altamonte Springs, FL
National Provider Identifier
1245747849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0010070
- Practice address
- 498 Palm Springs Dr
Altamonte Springs, FL 32701-7829 - Phone
- (407) 494-0644
- NPI assigned
- Jan 4, 2018
- 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 Therapist | 225100000X | 0010070 | FL | Primary |
Addresses
Primary practice location
498 Palm Springs Dr
Altamonte Springs, FL 32701-7829
Mailing address
7473 Megan Elissa LN
Orlando, FL 32819-7764
Phone (407) 741-3406
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 |
|---|---|---|---|
| 0010070 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1245747849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7473 MEGAN ELISSA LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197764",
"telephone_number": "407-741-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "498 PALM SPRINGS DR",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327017829",
"telephone_number": "407-494-0644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARTHA",
"middle_name": "TRACY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "0010070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.