Active NPI
Angela Elisa Davis
- Physical Therapy Assistant
- Gold Canyon, AZ
National Provider Identifier
1508798109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 015153
- Practice address
- 6410 S Kings Ranch Rd
Gold Canyon, AZ 85118-7352 - Phone
- (480) 982-7948
- NPI assigned
- May 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 015153 | AZ | Primary |
Addresses
Primary practice location
6410 S Kings Ranch Rd
Gold Canyon, AZ 85118-7352
Mailing address
6410 S Kings Ranch Rd
Gold Canyon, AZ 85118-7352
Phone (480) 982-7948
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
| License | State | Type | Specialty |
|---|---|---|---|
| 015153 | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780099200000",
"number": "1508798109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 S KINGS RANCH RD",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "851187352",
"telephone_number": "480-982-7948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 S KINGS RANCH RD",
"city": "GOLD CANYON",
"state": "AZ",
"postal_code": "851187352",
"telephone_number": "480-982-7948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ANGELA",
"middle_name": "ELISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-30",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "015153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gold Canyon, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.