Individual provider Active NPI

Andrew Davis, DPT

  • Physical Therapist
  • North Little Rock, AR
National Provider Identifier
1467971630
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4396 Issued in AR
Practice address
4540 JFK Blvd
North Little Rock, AR 72116-7309
Phone
(501) 758-5555
Fax
(501) 758-5941
NPI assigned
Sep 19, 2017
Last updated
Sep 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4396 AR Primary

Addresses

Primary practice location

4540 JFK Blvd
North Little Rock, AR 72116-7309

Mailing address

10014 N Rodney Parham Rd Ste 103
Little Rock, AR 72227-5598
Phone (501) 224-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171104000029 AR Practitioner - Physical Therapist in Private Practice 6406112655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Arkansas College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aptc of North Little Rock, IncGroup PAC ID 1850298217, 11 clinicians

Practice addresses (Care Compare)

10321 Maumelle Blvd
North Little Rock, AR 72113-6620
Phone (501) 758-5555

2504 McCain Blvd
Suite 230
North Little Rock, AR 72116-7607
Phone (501) 758-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4396ARMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Aptc of North Little Rock, Inc Physical Therapist CurrentSince Sep 1, 2017 Accepting new patients

Locations

10014 N Rodney Parham Rd
Ste 103
Little Rock, AR 72227
Phone (501) 224-1303

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1467971630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10014 N RODNEY PARHAM RD STE 103",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722275598",
            "telephone_number": "501-224-5454",
            "fax_number": "501-224-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167309",
            "telephone_number": "501-758-5555",
            "fax_number": "501-758-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "4396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.