Active NPI
Renee Davia
- Physical Therapist
- Newtown Square, PA
National Provider Identifier
1467913475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008405L
- Practice address
- 535 Gradyville Rd
Newtown Square, PA 19073-2812 - Phone
- (610) 558-5000
- NPI assigned
- Mar 31, 2019
- Last updated
- Mar 31, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008405L | PA | Primary |
Addresses
Primary practice location
535 Gradyville Rd
Newtown Square, PA 19073-2812
Mailing address
PO Box 603
Central Square, NY 13036-0603
Phone (888) 706-0030
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT008405L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553990400000",
"number": "1467913475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 603",
"city": "CENTRAL SQUARE",
"state": "NY",
"postal_code": "130360603",
"telephone_number": "888-706-0030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 GRADYVILLE RD",
"city": "NEWTOWN SQUARE",
"state": "PA",
"postal_code": "190732812",
"telephone_number": "610-558-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIA",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-31",
"last_updated": "2019-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT008405L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newtown Square, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.