Robert M Davenport, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006020 Issued in CT

Practice address

115 Spencer St
Winsted, CT 06098-1140

Phone

(860) 738-5810

Fax

(860) 738-5820

NPI assigned

Jul 5, 2006

Last updated

Mar 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Canton Physical Therapy LLCGroup PAC ID 8022903640, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Canton Physical Therapy, LLC

  • Physical Therapist
  • Canton, CT
  • NPI 1649493644
  Medicare reassignment Care Compare group NPD
• Carlson Therapy Network, PC

  dba Carlson Procare

  • Physical Therapist
  • New Milford, CT
  • NPI 1114979226
  NPD (past)
• Windsor Physical Therapy

  dba Canton Physical Therapy

  • Physical Therapist
  • Windsor, CT
  • NPI 1396002184
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1437180916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 466",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060190466",
            "telephone_number": "860-693-6226",
            "fax_number": "860-693-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SPENCER ST",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981140",
            "telephone_number": "860-738-5810",
            "fax_number": "860-738-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Health and Wellness Center of Greater Torrington Inc
• Community Residences, Inc.
• Community Residences, Inc.
• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy # 02682)
• Mark Croce
• David R Lawrence MD LLC
• Donna M McHugh MD PLLC
• Christine Downs, LMFT
• Richard S. Dutton, M.D.
• Stacey Jill Flowers, LPC-A

• Physical Therapist in Winsted, CT
• Providers in Winsted, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.