Allycia Cathryn Daves, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63647 Issued in OR

Practice address

610 High St
Oregon City, OR 97045-2241

Phone

(503) 657-8903

Fax

(503) 266-8632

NPI assigned

Oct 2, 2018

Last updated

Jan 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Ms. Allycia Cathryn Shackelford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurotherapeutic Pediatric Therapies Inc

  • Occupational Therapist
  • Oregon City, OR
  • NPI 1275729352

  Physical Therapist

  NPD (past)
• Neurotherapeutic Pediatric Therapies Inc

  • Occupational Therapist
  • Portland, OR
  • NPI 1932642550

  Physical Therapist

  NPD (past)
• Capstone Health Services Inc.

  dba Capstone Physical Therapy

  • Physical Therapist
  • Bellingham, WA
  • NPI 1780042523
  NPD (past)

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1396220745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N ELM ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133519",
            "telephone_number": "503-263-8903",
            "fax_number": "503-266-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HIGH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452241",
            "telephone_number": "503-657-8903",
            "fax_number": "503-266-8632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2274 SW 2nd St Ste D",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971285597",
            "country_code": "US",
            "telephone_number": "971-261-2159",
            "fax_number": "503-883-9782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10130 NE Skidmore St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972203570",
            "country_code": "US",
            "telephone_number": "503-257-3878",
            "fax_number": "503-266-8632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVES",
        "first_name": "ALLYCIA",
        "middle_name": "CATHRYN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60895521",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0014101",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "63647",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLYCIA",
            "last_name": "SHACKELFORD",
            "middle_name": "CATHRYN",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ian Danford, MD
• Daniel a Leedy, MD, PC
• Monica Daniels, RN
• Carlin Darty
• Nancy Dausman, RN
• David Lindquist MD PC
• Ginger Davidson
• Marsha Rae Davidson, FNP
• Neil Davies
• William M Davies, M.D.

• Physical Therapist in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.