Active NPI
Kevin Anthony Davie, DPT
- Physical Therapist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9307
- Practice address
- 130 Forum Dr Ste 13
Columbia, SC 29229-7943 - Phone
- (803) 509-6880
- Fax
- (803) 509-6881
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- 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 | 9307 | SC | Primary |
Addresses
Primary practice location
130 Forum Dr Ste 13
Columbia, SC 29229-7943
Mailing address
5300 Derry St FL 2
Harrisburg, PA 17111-3576
Phone (717) 839-2110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2295 Towne Lake Pkwy
Suite 148
Woodstock, GA 30189-5520
Phone (770) 926-2744
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9307 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Benchmark Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592
1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525
2295 Towne Lake Pkwy
Ste 148
Woodstock, GA 30189
Phone (770) 926-2744
5300 Derry St
Fl 2
Harrisburg, PA 17111
130 Forum Dr
Ste 13
Columbia, SC 29229
Phone (803) 509-6880
7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031
Organizations & group practices 8
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.
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
-
- Physical Therapist
- Riverdale, GA
- NPI 1427000777
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1275094641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 DERRY ST FL 2",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171113576",
"telephone_number": "717-839-2110",
"fax_number": "717-565-1934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 FORUM DR STE 13",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292297943",
"telephone_number": "803-509-6880",
"fax_number": "803-509-6881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIE",
"first_name": "KEVIN",
"middle_name": "ANTHONY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-28",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "9307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.