Organization Active NPI

Warrior Physical Therapy and Performance LLC

  • Physical Therapy Clinic/Center
  • Apex, NC
National Provider Identifier
1407556061
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
WARRIOR PHYSICAL THERAPY AND PERFORMANCE LLC
Practice address
2161 E Williams St
Apex, NC 27539-7714
Phone
(949) 705-7395
NPI assigned
Mar 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Dr. Jackson Davis, DPTNPI 1750918470
Title
Owner
Phone
(949) 705-7395

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2161 E Williams St
Apex, NC 27539-7714

Mailing address

2835 Milano Ave
Apex, NC 27502-9695
Phone (949) 705-7395

National Provider Directory

National Provider Directory

Locations

2161 E Williams St
Apex, NC 27539
Phone (949) 705-7395

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1407556061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 MILANO AVE",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275029695",
            "telephone_number": "949-705-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 E WILLIAMS ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275397714",
            "telephone_number": "949-705-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRIOR PHYSICAL THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-705-7395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.