Active NPI
Perry Davis
- Physical Therapy Assistant
- Vancouver, WA
National Provider Identifier
1508976242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 508 SE 117TH Ave
Vancouver, WA 98683-5268 - Phone
- (360) 254-1424
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
508 SE 117TH Ave
Vancouver, WA 98683-5268
Mailing address
19309 SE 9TH Cir
Camas, WA 98607-7257
Phone (360) 833-1933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTA | Other | WA | PTA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Orthopedic Services, Inc. | Past | Accepting new patients | |
| Select Physical Therapy Orthopedic Services Inc | Past | Accepting new patients |
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.
-
- Rehabilitation Clinic/Center
- Vancouver, WA
- NPI 1053374959
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1881180636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508976242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19309 SE 9TH CIR",
"city": "CAMAS",
"state": "WA",
"postal_code": "986077257",
"telephone_number": "360-833-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 SE 117TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835268",
"telephone_number": "360-254-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PERRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA",
"identifier": "PTA",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.