Maureen Anne Davis, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LA9063 Issued in LA

Practice address

3100 Kingman St Ste 103
Metairie, LA 70006-5419

Phone

(504) 313-6502

NPI assigned

Oct 18, 2021

Last updated

Oct 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Blue Wave Physical Therapy and Wellness

  • Physical Therapist
  • Metairie, LA
  • NPI 1932623139
  NPD
• Rehab Access LLC

  • Physical Therapist
  • Terrytown, LA
  • NPI 1699840520
  NPD

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1457014433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 VETERANS MEMORIAL BLVD # 313",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 KINGMAN ST STE 103",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065419",
            "telephone_number": "504-313-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MAUREEN",
        "middle_name": "ANNE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "LA9063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "LA9063",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "send notes",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "3100 Kingman St Ste 103",
            "city": "Metairie",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700065419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Krashaunda Trenee Davis
• Latoya Maria Davis
• Lauren Condon Davis
• Mallorie Davis
• Marcus Samuel Davis, MD
• Maya Makayla Davis I
• Michael Prentice Davis, MD
• Michelle Mireille Davis, M.D.
• Nancy Lynn Davis, RAC
• Rayanda Davis

• Massage Therapist in Metairie, LA
• Providers in Metairie, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.