Active NPI
Leslie Starr Han Davis, PT, DPT
- Physical Medicine & Rehabilitation Physician
- Saint Albans, VT
National Provider Identifier
1255850319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 040.0114532
- Practice address
- 596 Sheldon Rd
Saint Albans, VT 05478-8011 - Phone
- (802) 393-6104
- NPI assigned
- Sep 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 Medicine & Rehabilitation Physician | 208100000X | 040.0114532 | VT | Primary |
Addresses
Primary practice location
596 Sheldon Rd
Saint Albans, VT 05478-8011
Mailing address
1191 North Ave Apt 310
Burlington, VT 05408-2794
Other practice location 1
596 Sheldon Rd
Saint Albans, VT 05478-8011
Phone (802) 393-6104
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040.0114532 | VT | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1255850319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1191 NORTH AVE APT 310",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054082794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "596 SHELDON RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054788011",
"telephone_number": "802-393-6104"
}
],
"practiceLocations": [
{
"address_1": "596 Sheldon Rd",
"address_purpose": "LOCATION",
"city": "Saint Albans",
"state": "VT",
"postal_code": "054788011",
"country_code": "US",
"telephone_number": "802-393-6104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "LESLIE",
"middle_name": "STARR HAN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VT",
"license": "040.0114532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.