Shawn A. Davis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00755700 Issued in NJ

Practice address

822 N Wood Ave
Suite 3
Linden, NJ 07036-4038

Phone

(908) 925-9700

Fax

(908) 663-2551

NPI assigned

Oct 4, 2005

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prime Health Physical Therapy 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Prime Health Physical Therapy

  • Physical Therapy Clinic/Center
  • Linden, NJ
  • NPI 1104891720

  NJ

  Medicare reassignment Care Compare group NPD Authorized official
• Oncare Rehab LLC

  • Physical Therapist
  • Dayton, NJ
  • NPI 1013638667

  NJ, Physical Therapist

  Medicare reassignment NPD
• Best Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Linden, NJ
  • NPI 1760855712
  NPD Authorized official
• Dynamic Physical Therapy Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Roselle Park, NJ
  • NPI 1386770659

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1265429393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 N WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364038",
            "telephone_number": "908-936-8700",
            "fax_number": "908-936-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 N WOOD AVE",
            "address_2": "SUITE 3",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070364038",
            "telephone_number": "908-925-9700",
            "fax_number": "908-663-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHAWN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00755700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ewa Czyzewski, MD
• Guerlene Damas
• Marie E Darius
• Jancy A Davis, PTA
• Michael A Davis, DPT
• Maria Richelle Soriano De Jesus, P.T.
• Vincent Decataldo, BOCPO,NJ LICENCE PO
• Anthony Brian Del Popolo, DPT
• Eric M Deutchman, DPM
• Developmental Disabilities Association NJ Inc.

• All providers in Linden, NJ
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.