Wesley Richard Davis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24660 Issued in MA

Practice address

2 Washington St
Melrose, MA 02176-6055

Phone

(781) 321-7000

NPI assigned

Dec 17, 2019

Last updated

Jan 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Massachusetts Medical & Physical Therapy Associates Inc.

  dba Fitzgerald Physical Therapy Associates, Inc.

  • Rehabilitation Practitioner
  • Woburn, MA
  • NPI 1447259163

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1578101853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 LOWDEN AVE",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442149",
            "telephone_number": "717-606-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021766055",
            "telephone_number": "781-321-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WESLEY",
        "middle_name": "RICHARD",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Allan Darragh, DC MPH
• David J. Cohen, M.D.
• David M. Wahl, MD
• Roger R Davies, SCD.
• Jesse Davis, D.C.
• Dcom, Inc.
• Kathleen Decarlo, M.S. ED., B.C.B.A.
• Christopher L Defazio, MD
• Paul Defeo, DMD
• William John Dell'Orfano, M.S.W.

• Physical Therapist in Melrose, MA
• Providers in Melrose, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.