Davenport & Associates Physical Therapy

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

5501009797 Issued in MI

Legal business name

DAVENPORT & ASSOCIATES PHYSICAL THERAPY

Practice address

882 S. Grove Rd.
Upper Suite
Ypsilanti, MI 48198

Phone

(734) 483-1625

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Alma Marie Davenport, PT

Title

Physical Therapist/Ceo

Phone

(734) 483-1625

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1629000799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAKE POINTE CENTER",
            "address_2": "882 S. GROVE RD. (UPPER SUITE)",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48198",
            "telephone_number": "734-483-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 S. GROVE RD.",
            "address_2": "UPPER SUITE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48198",
            "telephone_number": "734-483-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT & ASSOCIATES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/CEO",
        "authorized_official_telephone_number": "734-483-1625",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "5501009797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "650H114050",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Physical Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.