Katie Marie Davenport, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1280495 Issued in TX

Practice address

2705 Osler Blvd
Bryan, TX 77802-2518

Phone

(979) 776-2225

NPI assigned

Aug 3, 2016

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Emerelli, PLLC

  dba Restorative Physical Therapy

  • Physical Therapist
  • Bryan, TX
  • NPI 1336960301
  Medicare reassignment NPD Authorized official
• Sports, Back & Pain Mangement Clinic

  • Orthopedic Physical Therapist
  • Bryan, TX
  • NPI 1275786469
  NPD (past)

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1457805707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 WESTFIELD DR",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778457286",
            "telephone_number": "832-721-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022518",
            "telephone_number": "979-776-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "KATIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1280495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dansby House Inc
• Heather R Darcey, DDS
• Piyush Pravinkumar Darji, APRN
• Mahesh R Dave, M.D.
• Nalini M Dave, M.D.
• John D Davidhizar Jr., MD
• Rhonda Rochell Davies, LCSW
• Chanseya A Davis, MD
• Cynthia Gregory Davis
• Lashonda Davis

• Physical Therapist in Bryan, TX
• Providers in Bryan, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.