Active NPI
Nancy L Davison, PT
- Physical Therapist
- Carson City, NV
National Provider Identifier
1487655205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1839
- Practice address
- 3430 Executive Pointe Way
Carson City, NV 89706-7946 - Phone
- (775) 882-2211
- NPI assigned
- Aug 2, 2005
- Last updated
- Nov 8, 2007
- 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 | 1839 | NV | Primary |
Addresses
Primary practice location
3430 Executive Pointe Way
Carson City, NV 89706-7946
Mailing address
PO Box 3450
Carson City, NV 89702-3450
Phone (775) 882-2211
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1839 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascent Sports Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Carson Physical Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Ascent Physcial Therapy
- Physical Therapist
- Carson City, NV
- NPI 1508996018
-
- Physical Therapy Clinic/Center
- Carson City, NV
- NPI 1528191749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1487655205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3450",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897023450",
"telephone_number": "775-882-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 EXECUTIVE POINTE WAY",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897067946",
"telephone_number": "775-882-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISON",
"first_name": "NANCY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.