Active NPI
Linda Eileen Davis, MSPT
- Physical Therapist
- Dover, DE
National Provider Identifier
1629098827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0001917
- Practice address
- 1288 S Governors Ave
Dover, DE 19904-4802 - Phone
- (302) 677-0100
- Fax
- (302) 677-0267
- NPI assigned
- Jul 20, 2006
- Last updated
- Mar 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0001917 | DE | Primary |
| Sports Physical Therapist | 2251S0007X | J1-0001917 | DE | |
| Orthopedic Physical Therapist | 2251X0800X | J1-0001917 | DE |
Addresses
Primary practice location
1288 S Governors Ave
Dover, DE 19904-4802
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (302) 677-0100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629098827 | Medicaid | DE | |
| 5070-0072 | Other | NCA | |
| 2714054000 | Other | IBC AMERIHEALTH | |
| 88760518 | Other | CAREFIRST | |
| 11534468 | Other | CAQH | |
| 1629098827 | Other | TRICARE |
Other names 1
- Linda Hunter Davis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0001917 | DE | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362355200000",
"number": "1629098827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "302-677-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1288 S GOVERNORS AVE",
"city": "DOVER",
"state": "DE",
"postal_code": "199044802",
"telephone_number": "302-677-0100",
"fax_number": "302-677-0267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LINDA",
"middle_name": "EILEEN",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2013-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0001917",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "DE",
"license": "J1-0001917",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "DE",
"license": "J1-0001917",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629098827",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCA",
"identifier": "5070-0072",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC AMERIHEALTH",
"identifier": "2714054000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "88760518",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11534468",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1629098827",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "DAVIS",
"middle_name": "HUNTER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.