Active NPI
Joseph Davidson
- Physical Therapist
- Anderson, SC
National Provider Identifier
1477957751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7547
- Practice address
- 100 Healthy Way
1110
Anderson, SC 29621-7915 - Phone
- (843) 261-3099
- NPI assigned
- Oct 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 7547 | SC | Primary |
Addresses
Primary practice location
100 Healthy Way
1110
Anderson, SC 29621-7915
Mailing address
833 Allison Cir
Anderson, SC 29625-5381
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 |
|---|---|---|---|
| 7547 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1477957751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 ALLISON CIR",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296255381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HEALTHY WAY",
"address_2": "1110",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296217915",
"telephone_number": "843-261-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-15",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.