Individual provider Active NPI

Meggi Davenport, PT

  • Orthopedic Physical Therapist
  • Post Falls, ID
National Provider Identifier
1548740624
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT-8492 Issued in ID
Practice address
609 N Calgary CT Ste 2
Post Falls, ID 83854-4906
Phone
(208) 457-3435
NPI assigned
Aug 17, 2018
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60872085 WA
Orthopedic Physical Therapist 2251X0800X PT-8492 ID Primary

Addresses

Primary practice location

609 N Calgary CT Ste 2
Post Falls, ID 83854-4906

Mailing address

2065 W Riverstone Dr Ste 101
Coeur D Alene, ID 83814-5699
Phone (208) 667-1988

Other identifiers 1

IdentifierTypeStateIssuer
1548740624MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181102001099 WA Practitioner - Physical Therapist in Private Practice 9436402781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Associates IncGroup PAC ID 0042116279, 319 clinicians

Practice addresses (Care Compare)

1005 N Evergreen Rd
Suite 10
Spokane Valley, WA 99216-1485
Phone (509) 891-2258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60872085WAMDPhysical Therapist
PT-8492IDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist CurrentSince Aug 16, 2018 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Aug 16, 2018 Accepting new patients
Lake City Physical Therapy P a Physical Therapist CurrentSince Nov 28, 2022 Accepting new patients
Lake City Physical Therapy P a Physical Therapist CurrentSince Nov 28, 2022 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Advanced Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

2065 W Riverstone Dr
Ste 101
Coeur D Alene, ID 83814
Phone (208) 667-1988

2170 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 667-1988

2170 W Ironwood Center Dr
Ste B
Coeur D Alene, ID 83814
Phone (208) 667-1988

609 N Calgary Ct
Ste 2
Post Falls, ID 83854
Phone (208) 457-3435

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

1408 N Louisiana St
Ste 104A
Kennewick, WA 99336
Phone (509) 783-1962

17901 Bothell Everett Hwy
Mill Creek, WA 98012
Phone (425) 424-3924

5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975

1005 N Evergreen Rd
Ste 10
Spokane Valley, WA 99216
Phone (509) 926-5367

17700 SE Mill Plain Blvd
Ste 150
Vancouver, WA 98683
Phone (360) 514-9383

Interoperability endpoints

  • Direct secure messaging: meggi.davenport.1@31414.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1548740624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 W RIVERSTONE DR STE 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838145699",
            "telephone_number": "208-667-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N CALGARY CT STE 2",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544906",
            "telephone_number": "208-457-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "MEGGI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60872085",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ID",
            "license": "PT-8492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548740624",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.