Organization Active NPI

Davinci Physical Therapy PLLC

  • Physical Therapist
  • Bainbridge Island, WA
National Provider Identifier
1346276102
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DAVINCI PHYSICAL THERAPY PLLC
Practice address
840 Madison Ave N
Suite 102
Bainbridge Island, WA 98110-1823
Phone
(206) 855-0955
Fax
(206) 855-0801
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeanene Marie Nover, MPT
Title
Partner-Owner
Phone
(206) 855-0955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

840 Madison Ave N
Suite 102
Bainbridge Island, WA 98110-1823

Mailing address

840 Madison Ave N
Suite 102
Bainbridge Island, WA 98110-1823
Phone (206) 855-0955

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346276102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 MADISON AVE N",
            "address_2": "SUITE 102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101823",
            "telephone_number": "206-855-0955",
            "fax_number": "206-855-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MADISON AVE N",
            "address_2": "SUITE 102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101823",
            "telephone_number": "206-855-0955",
            "fax_number": "206-855-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVINCI PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVER",
        "authorized_official_first_name": "JEANENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PARTNER-OWNER",
        "authorized_official_telephone_number": "206-855-0955",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.