Individual provider Active NPI

Jordan Elizabeth Davis

  • Occupational Therapist
  • San Marcos, TX
National Provider Identifier
1326519554
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
118115 Issued in TX
Practice address
151 Stagecoach TRL Ste 230
San Marcos, TX 78666-3863
Phone
(512) 214-8202
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 118115 TX Primary

Addresses

Primary practice location

151 Stagecoach TRL Ste 230
San Marcos, TX 78666-3863

Mailing address

PO Box 932184
Atlanta, GA 31193-2184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190116000164 TX Practitioner - Occupational Therapist in Private Practice 4587900360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Rehab Center Inc 123 clinicians

Practice addresses (Care Compare)

896 Summit St
Suite 102
Round Rock, TX 78664-4370
Phone (512) 599-4262

Merit-based Incentive Payment System (MIPS)

Final score
74.64 of 100Reported as group
Quality
46.1
Promoting interoperability
92
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Rehab Center Inc Occupational Therapist CurrentSince Jun 4, 2022 Accepting new patients
Endeavor Rehab Center Inc CurrentSince Jun 4, 2022 Accepting new patients
Texas Physical Therapy Specialists, Inc. CurrentSince Nov 20, 2018 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Nov 20, 2018 Accepting new patients
Texas Physical Therapy Specialists Past Accepting new patients

Locations

1212 W Parmer Ln
Ste E
Austin, TX 78727
Phone (512) 670-3238

6911 Ranch Road 620 N
#201
Austin, TX 78732
Phone (512) 467-4546

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

4100 Everett
Ste 130
Kyle, TX 78640
Phone (512) 738-8410

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

2550 Hunter Rd
Ste 1104
San Marcos, TX 78666
Phone (512) 396-5122

151 Stagecoach Trl
Ste 230
San Marcos, TX 78666
Phone (512) 214-8202

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1326519554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 STAGECOACH TRL STE 230",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786663863",
            "telephone_number": "512-214-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JORDAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.