Active NPI
Amayana Ramiro Davis, PT
- Physical Therapist
- Decatur, GA
National Provider Identifier
1629318050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008050
- Practice address
- 2787 N Decatur Rd
Decatur, GA 30033-5919 - Phone
- (706) 513-7843
- Fax
- (479) 709-7733
- NPI assigned
- Feb 21, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008050 | GA | Primary |
| Physical Therapist | 225100000X | PT12101 | FL |
Addresses
Primary practice location
2787 N Decatur Rd
Decatur, GA 30033-5919
Mailing address
2233 Misty Creek TRL
Stockbridge, GA 30281-9219
Phone (706) 513-7843
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 |
|---|---|---|---|
| PT12101 | FL | MD | Physical Therapist |
| PT008050 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1629318050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 MISTY CREEK TRL",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819219",
"telephone_number": "706-513-7843",
"fax_number": "479-709-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2787 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335919",
"telephone_number": "706-513-7843",
"fax_number": "479-709-7733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "AMAYANA",
"middle_name": "RAMIRO",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008050",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT12101",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.