Active NPI
Rebecca F Davis, P.T.
- Specialist
- Riverhead, NY
National Provider Identifier
1629212576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 013865-1
- Practice address
- 112 Pier Ave
Riverhead, NY 11901-5409 - Phone
- (631) 871-6745
- Fax
- (631) 722-8506
- NPI assigned
- Apr 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 013865-1 | NY | Primary |
Addresses
Primary practice location
112 Pier Ave
Riverhead, NY 11901-5409
Mailing address
112 Pier Ave
Riverhead, NY 11901-5409
Phone (631) 871-6745
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 |
|---|---|---|---|
| 013865-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hampton Chiropractic PC | Past | Accepting new patients | |
| Hampton Medical Wellness, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- East Hampton, NY
- NPI 1619284833
-
- Physical Medicine & Rehabilitation Physician
- East Hampton, NY
- NPI 1942212261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240358400000",
"number": "1629212576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 PIER AVE",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119015409",
"telephone_number": "631-871-6745",
"fax_number": "631-722-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 PIER AVE",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119015409",
"telephone_number": "631-871-6745",
"fax_number": "631-722-8506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "REBECCA",
"middle_name": "F",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-22",
"last_updated": "2009-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "013865-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.