Individual provider Active NPI

Tiffany L Davis, PT

  • Physical Therapist
  • Athens, AL
National Provider Identifier
1679513121
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH1751 Issued in AL
Practice address
22423 US Highway 72
Suite B
Athens, AL 35613-2662
Phone
(256) 232-1221
Fax
(256) 232-1231
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH1751 AL Primary

Addresses

Primary practice location

22423 US Highway 72
Suite B
Athens, AL 35613-2662

Mailing address

1908 Flint Rd SE
Decatur, AL 35601-6031
Phone (256) 340-9708

Other identifiers 2

IdentifierTypeStateIssuer
1003819608OtherALGROUP NPI
529917620MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060628000189 AL Practitioner - Physical Therapist in Private Practice 0648282160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed Orthopaedic SpecialistsGroup PAC ID 7214903723, 87 clinicians

Practice addresses (Care Compare)

4715 Whitesburg Dr SE
Huntsville, AL 35802-1649
Phone (256) 881-5151

Merit-based Incentive Payment System (MIPS)

Final score
89.66 of 100Reported as group
Quality
90
Promoting interoperability
94
Improvement activities
40
Cost
80.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH1751ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed Orthopaedic Specialists CurrentSince Oct 1, 2022 Accepting new patients
Sportsmed Orthopaedic Specialists, PC CurrentSince Oct 1, 2022 Accepting new patients
DCH Encore Rehabilitation, LLC Physical Therapist CurrentSince Apr 29, 2019 Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients
Encore Rehabilitation, Inc. Past Accepting new patients
Encore Rehabilitation Inc Past Accepting new patients

Locations

22423 US Highway 72
Ste B
Athens, AL 35613
Phone (256) 232-1211

22270 US Highway 72
Athens, AL 35613
Phone (256) 230-9606

251 Johnston St SE
Ste 200
Decatur, AL 35601

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

4715 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 319-8500

92 McFarland Blvd
Northport, AL 35476
Phone (205) 344-9161

1050 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
Phone (205) 750-5394

6561 Highway 69 S
#A
Tuscaloosa, AL 35405
Phone (205) 722-1036

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1679513121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 FLINT RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016031",
            "telephone_number": "256-340-9708",
            "fax_number": "256-340-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22423 US HIGHWAY 72",
            "address_2": "SUITE B",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132662",
            "telephone_number": "256-232-1221",
            "fax_number": "256-232-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TIFFANY",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH1751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.