Organization Active NPI

Davis Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Sedona, AZ
National Provider Identifier
1558739607
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
6130 Issued in AZ
Legal business name
DAVIS PHYSICAL THERAPY LLC
Practice address
31 Bell Rock PLZ Ste B
Sedona, AZ 86351-9099
Phone
(928) 284-4755
Fax
(928) 284-4756
NPI assigned
Sep 7, 2015
Last updated
Nov 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Amy D Davis, PT, DPT, CHTNPI 1871754697
Title
Owner, Therapist
Phone
(928) 284-4755

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 6130 AZ Primary

Addresses

Primary practice location

31 Bell Rock PLZ Ste B
Sedona, AZ 86351-9099

Mailing address

31 Bell Rock PLZ Ste B
Sedona, AZ 86351-9099
Phone (928) 284-4755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151219000152 AZ Part B Supplier - Clinic/Group Practice 4587965314 Receives reassigned benefits from 1 practitioner
Practice locations: Sedona, AZ

National Provider Directory

National Provider Directory

Locations

31 Bell Rock Plz
Ste B
Sedona, AZ 86351
Phone (928) 284-4755

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1558739607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BELL ROCK PLZ STE B",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863519099",
            "telephone_number": "928-284-4755",
            "fax_number": "928-284-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BELL ROCK PLZ STE B",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863519099",
            "telephone_number": "928-284-4755",
            "fax_number": "928-284-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "928-284-4755",
        "authorized_official_credential": "PT, DPT, CHT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "6130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.