NPIMap

Organization Active NPI

Davis PT: a Balanced Approach, LLC

  • Physical Therapy Clinic/Center
  • Auburn, ME
National Provider Identifier
1508427162
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DAVIS PT: A BALANCED APPROACH, LLC
Practice address
368 Minot Ave Ste 3
Auburn, ME 04210-4331
Phone
(207) 333-5022
Fax
(207) 333-5089
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Authorized official

Name
Kaytlen Anne Davis, PTNPI 1104047737
Title
Owner
Phone
(207) 333-5022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Home Health Agency 251E00000X
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

368 Minot Ave Ste 3
Auburn, ME 04210-4331

Mailing address

417 Park Ave
Auburn, ME 04210-4143
Phone (207) 513-7115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190718000281 ME Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3274868898 Receives reassigned benefits from 11 practitioners
Practice locations: Auburn, ME

National Provider Directory

National Provider Directory

Locations

368 Minot Ave
Ste 3
Auburn, ME 04210
Phone (207) 333-5022

86 Main St
Unit 204A
Auburn, ME 04210
Phone (207) 333-5022

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1508427162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 PARK AVE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104143",
            "telephone_number": "207-513-7115",
            "fax_number": "207-333-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 MINOT AVE STE 3",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104331",
            "telephone_number": "207-333-5022",
            "fax_number": "207-333-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS PT: A BALANCED APPROACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KAYTLEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-333-5022",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.