Michael A Davis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2057 Issued in OK

Practice address

1505 E Steve Owens Blvd
Miami, OK 74354-7917

Phone

(918) 542-4101

Fax

(918) 542-4410

NPI assigned

Dec 22, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neo Orthopedic and Rehabilitation LLC

  • Physical Therapist
  • Miami, OK
  • NPI 1720153638
  NPD (past)

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1487923264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 E STEVE OWENS BLVD",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743547917",
            "telephone_number": "918-542-4101",
            "fax_number": "918-542-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 E STEVE OWENS BLVD",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743547917",
            "telephone_number": "918-542-4101",
            "fax_number": "918-542-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "2057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Current Intervention Family Therapy Services
• Angela Beth Curry
• Lynda Diane Curtis, LPC
• Andrew Stephen Darnell
• Debra C Darrah, SLPA
• Gretta Levon Day
• Zachary Eugene Deitrick
• Carol Ann Demond, ARNP
• John Depoe
• Kourtney A Dey, CCC-SLP

• Physical Therapy Assistant in Miami, OK
• Providers in Miami, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.