Davis Sports Therapy and Rehabilitation PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

657570000 Issued in TX

Legal business name

DAVIS SPORTS THERAPY AND REHABILITATION PLLC

Practice address

611 S Congress Ave Ste 205
Austin, TX 78704-1729

Phone

(512) 442-3200

Fax

(512) 442-3206

NPI assigned

Jun 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Phillip L Davis, DPTNPI 1073703203

Title

Owner

Phone

(512) 442-3200

Specialties & licenses 1

Addresses

Other names 1

• The Training Room Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Lawrence Davis, DPT

  • Physical Therapist
  • Austin, TX
  • NPI 1073703203
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1699069112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41465",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787040025",
            "telephone_number": "512-442-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CONGRESS AVE STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787041729",
            "telephone_number": "512-442-3200",
            "fax_number": "512-442-3206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Barton Springs Rd",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787041254",
            "country_code": "US",
            "telephone_number": "512-442-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVIS SPORTS THERAPY AND REHABILITATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-442-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "657570000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Training Room",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Training Room",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Deleigh Davila, C.N.S.
• Danielle Davila
• Janet L Davila, AU.D., C.C.C.-A.
• Stephanie Davila, LCSW
• Davis Legacy Solutions LLC
• Alec Davis, BCBA
• Alexander Q Davis, LP, FP-C
• Alisande Davis, P.A.
• Anastasia Davis, FNP-C
• Andrew Davis

• Physical Therapy Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.