Organization Active NPI

Davidson Physical Therapy PC

  • Physical Therapist
  • Grandview, TX
National Provider Identifier
1487778841
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
659720000 Issued in TX
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Michael Davidson, MPTNPI 1649394198
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.