Active NPI
Davidson Physical Therapy PC
- Physical Therapist
- Grandview, TX
National Provider Identifier
1487778841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 659720000
- Legal business name
- DAVIDSON PHYSICAL THERAPY PC
- Practice address
- 103 N 3Rd St
Grandview, TX 76050-1915 - Phone
- (817) 866-3664
- Fax
- (817) 866-4367
- NPI assigned
- Mar 19, 2007
- Last updated
- Jul 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Davidson, MPT
- Title
- Owner
- Phone
- (817) 866-3664
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 659720000 | TX | Primary |
Addresses
Primary practice location
103 N 3Rd St
Grandview, TX 76050-1915
Mailing address
103 N 3Rd St
Grandview, TX 76050-1915
Phone (817) 866-3664
National Provider Directory
National Provider DirectoryLocations
203 S 3rd St
Grandview, TX 76050
Phone (817) 866-2100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Grandview, TX
- NPI 1649394198
-
- Occupational Therapist
- Grandview, TX
- NPI 1750404950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279670400000",
"number": "1487778841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 N 3RD ST",
"city": "GRANDVIEW",
"state": "TX",
"postal_code": "760501915",
"telephone_number": "817-866-3664",
"fax_number": "817-866-4367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N 3RD ST",
"city": "GRANDVIEW",
"state": "TX",
"postal_code": "760501915",
"telephone_number": "817-866-3664",
"fax_number": "817-866-4367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIDSON PHYSICAL THERAPY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2010-07-21",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-866-3664",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "659720000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grandview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.