Individual provider Active NPI

Joshua Ryan Davis, PT, DPT, OCS, CSCS

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1417544529
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0017421 Issued in CO
Practice address
2101 S Platte River Dr Unit a
Denver, CO 80223-4015
Phone
(720) 248-4386
NPI assigned
Dec 22, 2020
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 PTL.0017421 CO Primary

Addresses

Primary practice location

2101 S Platte River Dr Unit a
Denver, CO 80223-4015

Mailing address

2101 S Platte River Dr Unit a
Denver, CO 80223-4015
Phone (720) 248-4386

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0017421COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Rehabilitation and Sport Performance PLLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

2101 S Platte River Dr
Unit A
Denver, CO 80223
Phone (720) 248-4386

Organizations & group practices 1

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1417544529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 S PLATTE RIVER DR UNIT A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802234015",
            "telephone_number": "720-248-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S PLATTE RIVER DR UNIT A",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802234015",
            "telephone_number": "720-248-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOSHUA",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.