Julia Davis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60539770 Issued in WA

Practice address

130 Marvin Rd SE
Ste 203
Lacey, WA 98503-6100

Phone

(360) 456-3300

Fax

(425) 775-0963

NPI assigned

Nov 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Core Performance Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Stamford, NY
  • NPI 1063138287

  Physical Therapist

  NPD (past)
• Seco Occupational Therapy PC

  • Occupational Therapist
  • Norwich, NY
  • NPI 1548220478
  NPD (past)

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1316377575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MARVIN RD SE",
            "address_2": "STE 203",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036100",
            "telephone_number": "360-456-3300",
            "fax_number": "425-775-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JULIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-25",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036944-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60539770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bo M Davidson, D.D.S., M.S.
• Catherine Elizabeth Davis, LMP
• Christi Jean Davis
• Emma Davis
• Jenny Davis, LMT
• Keveyonna Davis, LMT
• Laurie J. Davis, ARNP
• Lila Davis
• Lynda Davis
• Madisen Davis

• Physical Therapist in Lacey, WA
• Providers in Lacey, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.