Individual provider Active NPI

Jessica Davis, DPT

  • Physical Therapist
  • Owasso, OK
National Provider Identifier
1417486366
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5287 Issued in OK
Practice address
8283 N Owasso Expy Ste C
Owasso, OK 74055-3600
Phone
(918) 938-7107
Fax
(918) 393-0007
NPI assigned
Jun 5, 2017
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5287 OK Primary

Addresses

Primary practice location

8283 N Owasso Expy Ste C
Owasso, OK 74055-3600

Mailing address

8283 N Owasso Expy Ste C
Owasso, OK 74055-3600
Phone (918) 622-4126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170624000143 OK Practitioner - Physical Therapist in Private Practice 8628346160 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5287OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist CurrentSince Jan 17, 2018 Accepting new patients
Drayer Physical Therapy Oklahoma LLC Physical Therapist CurrentSince Jan 17, 2018 Accepting new patients
Darla Bell DPT PLLC PastSince Jun 25, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2560 E Kenosha St
Broken Arrow, OK 74014
Phone (918) 994-7864

1355 W Rogers Blvd
Ste 10
Skiatook, OK 74070
Phone (918) 396-7125

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1417486366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8283 N OWASSO EXPY STE C",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740553600",
            "telephone_number": "918-622-4126",
            "fax_number": "918-270-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 N OWASSO EXPY STE C",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740553600",
            "telephone_number": "918-938-7107",
            "fax_number": "918-393-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JESSICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.