Mikal D Davis, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305204371 Issued in VA

Practice address

11928 Iron Bridge PLZ
Chester, VA 23831-1441

Phone

(804) 425-4545

Fax

(804) 425-4546

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mikal E Daly Former name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York Medical College, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ivyrehab Sept, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1982657433
  Medicare reassignment Care Compare group NPD
• Ivyrehab Sept, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, VA
  • NPI 1235955709

  Physical Therapist

  NPD
• Mike Kelo Physical Therapy, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chester, VA
  • NPI 1346499928

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1548370299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5717 BRADINGTON CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230596942",
            "telephone_number": "646-345-5029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11928 IRON BRIDGE PLZ",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311441",
            "telephone_number": "804-425-4545",
            "fax_number": "804-425-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Market Center Way",
            "address_2": "STE 2",
            "address_purpose": "LOCATION",
            "city": "Daleville",
            "state": "VA",
            "postal_code": "240833284",
            "country_code": "US",
            "telephone_number": "540-242-3017",
            "fax_number": "540-492-4058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MIKAL",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204371",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAL",
            "last_name": "DALY",
            "middle_name": "E",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fayeshon Davidson, MS, QMHP-A, QMHP-C
• Kristin Davidson, D.D.S.
• Davis and Nyczepir Ortho Dre PLLC
• Brandi Davis, DPT
• Lynn Valerie Davis, CFNP
• Veronica Davis, LCSW
• Corinne R De Leon, DC
• Kwasi Deitutu
• Delightsome Enterprises LLC
• Delightsome Place Family Services LLC

• Physical Therapist in Chester, VA
• Providers in Chester, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.