Davidson Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1007458 Issued in TX

Legal business name

DAVIDSON PHYSICAL THERAPY, INC.

Practice address

1919 North Loop W
Suite 130
Houston, TX 77008-1374

Phone

(713) 864-0556

Fax

(713) 864-1059

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Edward Davidson Sr., P.T.NPI 1720099393

Title

President

Phone

(713) 864-0556

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Edward Davidson Sr., P.T.

  • Physical Therapist
  • Houston, TX
  • NPI 1720099393
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1619023710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W",
            "address_2": "SUITE 430",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081374",
            "telephone_number": "713-864-0556",
            "fax_number": "713-864-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 NORTH LOOP W",
            "address_2": "SUITE 130",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081374",
            "telephone_number": "713-864-0556",
            "fax_number": "713-864-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-864-0556",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1007458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0022QJ",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z06500293",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Edwin Davidoski Sr., MS
• Vitaliy Davidov, MD, PHD
• Alison B Davidow, M.D.
• Joseph F Davidow, M.D.
• Carminia Edralin Davidsohn, MD
• Adorna Dareese Davidson
• Allison J. Davidson, D.O.
• Angela Davidson
• Asha Davidson, M.D.
• Brittaney De'Shae Davidson, BSN, RN, IBCLC

• Physical Therapy Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.