Active NPI
Keri Ann Davis, PT
- Physical Therapist
- Port Arthur, TX
National Provider Identifier
1376747345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1156807
- Practice address
- 4225 Lake Arthur Dr
Port Arthur, TX 77642-6490 - Phone
- (409) 727-3193
- Fax
- (409) 722-0714
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1156807 | TX | Primary |
Addresses
Primary practice location
4225 Lake Arthur Dr
Port Arthur, TX 77642-6490
Mailing address
4450 Pebble Beach Dr
Beaumont, TX 77707-5403
Phone (832) 978-3313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1156807 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376747345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 PEBBLE BEACH DR",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777075403",
"telephone_number": "832-978-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 LAKE ARTHUR DR",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776426490",
"telephone_number": "409-727-3193",
"fax_number": "409-722-0714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KERI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1156807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
- Daniel & Max, LLC
- Natasha Dannels, LPC
- Darla First Assist
- David Bernal DDS, PLLC
- Barry J Davis, O.D.
- Craig Allen De Lord, MD
- Deepti Chittal DMD PLLC
- Dennis E. Rose, M.D., P.a.
- Developmental Disabilities Management Services of Beaumont, LLC
- Developmental Disabilities Management Services of Beaumont, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.