Individual provider Active NPI

Ciera Davis

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1265962542
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3546 Issued in NV
Practice address
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone
(480) 342-1800
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3546 NV Primary

Addresses

Primary practice location

5777 E Mayo Blvd
Phoenix, AZ 85054-4502

Mailing address

5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone (480) 301-6874

Other practice location 1

9376 E Bahia Dr Ste 103
Scottsdale, AZ 85260-1532
Phone (480) 556-8406

Other practice location 2

1845 Village Center Cir
Las Vegas, NV 89134-6369
Phone (702) 723-9006

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

LicenseStateTypeSpecialty
3546NVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camelback Sports Therapy LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Endurance Rehabilitation LLC Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients
Endurance Rehabilitation LLC CurrentSince Dec 12, 2022 Accepting new patients
Chynoweth Hill and Leavitt LLC Physical Therapist Past Accepting new patients

Locations

4800 N 44th St
Phoenix, AZ 85018
Phone (602) 808-8989

100 E Camelback Rd
Ste 120
Phoenix, AZ 85012
Phone (602) 808-8989

9376 E Bahia Dr
Ste 103
Scottsdale, AZ 85260
Phone (480) 556-8406

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1265962542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 E MAYO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850544502",
            "telephone_number": "480-301-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 E MAYO BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850544502",
            "telephone_number": "480-342-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9376 E Bahia Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852601532",
            "country_code": "US",
            "telephone_number": "480-556-8406",
            "fax_number": "480-607-5840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1845 Village Center Cir",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891346369",
            "country_code": "US",
            "telephone_number": "702-723-9006",
            "fax_number": "702-664-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CIERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.