Nicholas Davis, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

3801 Selsa Rd Ste 7
Independence, MO 64057-1712

Phone

(816) 537-2905

NPI assigned

Oct 21, 2024

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 MO

Enrollment records 1

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.

• Boost Sports Performance, LLC

  dba Boost Physical Therapy & Sports Performance

  • Physical Therapy Clinic/Center
  • Lee's Summit, MO
  • NPI 1548428931
  Medicare reassignment NPD

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1326869694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 SELSA RD STE 7",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571712",
            "telephone_number": "816-537-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 SELSA RD STE 7",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571712",
            "telephone_number": "816-537-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell W. Davis, DDS, PC
• Jessica Davis, M.A., CCC-SLP
• Kelly Davis, M.A., CCC-SLP
• Madison Davis
• Marquita Davis
• Regina Marie Davis, CRNA, APN, MSN
• Sarah Davis
• Amelia Dawdy
• Brett T Dawson, OD
• Tanya E Minkevich De Visser, RPH

• Orthopedic Physical Therapist in Independence, MO
• Providers in Independence, MO by specialty
• Orthopedic Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.