Individual provider Active NPI

Madison Davis, PT, DPT

  • Pediatric Physical Therapist
  • Torrance, CA
National Provider Identifier
1497483697
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
302548 Issued in CA
Practice address
3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812
Phone
(310) 371-8555
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 302548 CA Primary

Addresses

Primary practice location

3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812

Mailing address

3460 Torrance Blvd Ste 100
Torrance, CA 90503-5812
Phone (310) 371-8555

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

LicenseStateTypeSpecialty
302548CAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids in Motion Pediatric Therapy CurrentSince Aug 28, 2022 Accepting new patients
Kids in Motion Physical Therapy, Inc Pediatrics CurrentSince Aug 28, 2022 Accepting new patients

Locations

3460 Torrance Blvd
Ste 100
Torrance, CA 90503
Phone (310) 371-8555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1497483697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 TORRANCE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035812",
            "telephone_number": "310-371-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 TORRANCE BLVD STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035812",
            "telephone_number": "310-371-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MADISON",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "302548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.