Alexandra Davis, PT, DPT

Individual provider Active NPI Physical Therapist · Charlotte, NC

NPI 1457077091 · NPPES record last updated Oct 17, 2022

Key facts

NPI
1457077091
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
P21386 (NC)
Practice address
3800 Shamrock Dr
Charlotte, NC 28215-3220
Phone
(704) 532-7000
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
P21386NCMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P21386 NC Yes

Addresses

Primary practice location

3800 Shamrock Dr
Charlotte, NC 28215-3220

Mailing address

730 Hawthorne LN Apt 105
Charlotte, NC 28204-2171
Phone (904) 566-5452

Other providers in Charlotte, NC

All providers in Charlotte, NC · Physical Therapist in North Carolina

Sources for this page

Verify at the official NPI Registry.