Makayla A Davis, LPTA
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Emporia, VA
NPI 1346986973 · NPPES record last updated May 6, 2022
Key facts
- NPI
- 1346986973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 2306606097 (VA)
- Practice address
- 219 Weaver Ave
Emporia, VA 23847-1248 - Phone
- (434) 336-5300
- Fax
- (434) 336-5301
- NPI assigned
- May 6, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306606097 | VA | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2306606097 | VA | Yes |
Addresses
Primary practice location
219 Weaver Ave
Emporia, VA 23847-1248
Mailing address
219 Weaver Ave
Emporia, VA 23847-1248
Phone (434) 336-5300
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All providers in Emporia, VA · Physical Medicine & Rehabilitation Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.