Active NPI
Jessica Davis, DPT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1417486366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5287
- Practice address
- 4008 S Yale Ave
Tulsa, OK 74135-6017 - Phone
- (918) 622-4278
- Fax
- (918) 622-4844
- NPI assigned
- Jun 5, 2017
- 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 | 5287 | OK | Primary |
Addresses
Primary practice location
4008 S Yale Ave
Tulsa, OK 74135-6017
Mailing address
4812 E 33Rd St
Tulsa, OK 74135-2038
Phone (918) 622-4126
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Oklahoma LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Oklahoma LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Oklahoma LLC | Physical Therapist | Current | 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 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Skiatook, OK
- NPI 1316345705
-
- Physical Therapist
- Glenpool, OK
- NPI 1861054454
-
- Physical Therapist
- Claremore, OK
- NPI 1912455700
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": "1496620800000",
"number": "1417486366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4812 E 33RD ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741352038",
"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": "4008 S YALE AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741356017",
"telephone_number": "918-622-4278",
"fax_number": "918-622-4844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JESSICA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2017-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2017; 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.