Active NPI
Jennifer Margaret Davis, PT, DPT
- Physical Therapist
- New York, NY
National Provider Identifier
1679134449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046353
- Practice address
- 6 E 39TH St Ste 504
New York, NY 10016-0112 - Phone
- (212) 317-8303
- NPI assigned
- Jun 24, 2019
- Last updated
- Aug 17, 2021
- 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 | 2305212999 | VA | |
| Physical Therapist | 225100000X | 046353 | NY | Primary |
| Orthopedic Physical Therapist | 2251X0800X | NU |
Addresses
Primary practice location
6 E 39TH St Ste 504
New York, NY 10016-0112
Mailing address
7224 Tod St
Falls Church, VA 22046-2005
Phone (484) 881-2765
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046353 | NY | MD | Pharmacist |
| 2305212999 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diamond & Schultz Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
6 E 39th St
Ste 504
New York, NY 10016
Phone (212) 317-8303
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.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1194993519
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1679134449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7224 TOD ST",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220462005",
"telephone_number": "484-881-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 E 39TH ST STE 504",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160112",
"telephone_number": "212-317-8303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JENNIFER",
"middle_name": "MARGARET",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2021-08-17",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212999",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046353",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.