Colton Davis

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA9454 Issued in AL

Practice address

1241 PT Mallard Pkwy Ste 201
Decatur, AL 35601-6555

Phone

(256) 350-9750

NPI assigned

Nov 8, 2021

Sex

Male

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": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1265197800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 COUNTY ROAD 296",
            "city": "HILLSBORO",
            "state": "AL",
            "postal_code": "356433241",
            "telephone_number": "256-476-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 PT MALLARD PKWY STE 201",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016555",
            "telephone_number": "256-350-9750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hospital St",
            "address_purpose": "LOCATION",
            "city": "Moulton",
            "state": "AL",
            "postal_code": "356501268",
            "country_code": "US",
            "telephone_number": "256-974-1146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "COLTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA9454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Arthur Daves Jr., PHARM D
• Betty Jane Davey, LMT
• David V. Parmer, MD, PC
• Davila Pediatrics P.C.
• Ashley Offord Davis, LPC
• Jennifer Leigh Davis
• Jonathan Davis, OD
• Joshua A Davis, PT
• Rebecca Marie Davis
• William Davis Jr., P.A.-C

• Physical Therapy Assistant in Decatur, AL
• Providers in Decatur, AL by specialty
• Physical Therapy Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.