Active NPI
Michael Davis
- Physical Therapy Assistant
- Johnsonville, SC
National Provider Identifier
1376870733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 1608 Kingsburg Hwy
Johnsonville, SC 29555-8004 - Phone
- (866) 571-2700
- NPI assigned
- Nov 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
1608 Kingsburg Hwy
Johnsonville, SC 29555-8004
Mailing address
1608 Kingsburg Hwy
Johnsonville, SC 29555-8004
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257379200000",
"number": "1376870733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1608 KINGSBURG HWY",
"city": "JOHNSONVILLE",
"state": "SC",
"postal_code": "295558004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 KINGSBURG HWY",
"city": "JOHNSONVILLE",
"state": "SC",
"postal_code": "295558004",
"telephone_number": "866-571-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-05",
"last_updated": "2009-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnsonville, SC
- Carol Anne Baker, D.M.D.
- Bio-Medical Applications of South Carolina, Inc.
- Carol a. Baker, DMD, PA
- Charles B. Maxwell, DMD, PA
- Cuddle Care Nursing Inc
- Kenneth M Faile Jr., MD
- Florence County School District Five
- Florence County School District Five
- Florence County School District Five
- Florence School District # 5
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.