Individual provider Active NPI

Davis D Tarkenton

  • Physical Therapist
  • North Chesterfield, VA
National Provider Identifier
1700648417
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216252 Issued in VA
Practice address
2610 Buford Rd
North Chesterfield, VA 23235-3422
Phone
(804) 923-3933
NPI assigned
Jan 29, 2024
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP052206T GA
Physical Therapist 225100000X 2305216252 VA Primary

Addresses

Primary practice location

2610 Buford Rd
North Chesterfield, VA 23235-3422

Mailing address

PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050

Other practice location 1

6055 Highway 124 W Ste 110
Hoschton, GA 30548-5534
Phone (706) 654-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240306002325 GA Practitioner - Physical Therapist in Private Practice 0042656613 Reassigns benefits to 1 organization
I20260501000791 VA Practitioner - Physical Therapist in Private Practice 0042656613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

2610 Buford Rd
North Chesterfield, VA 23235-3422
Phone (804) 923-3933

6055 Hwy 124 W
Suite 110
Hoschton, GA 30548-5534
Phone (706) 654-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP052206TGAMDPhysical Therapist
2305216252VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 29, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 29, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Feb 1, 2026 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist PastSince Feb 1, 2026 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

6055 Highway 124 W
Ste 110
Hoschton, GA 30548
Phone (706) 654-2000

14302 Winterview Pkwy
Midlothian, VA 23113
Phone (804) 601-6010

2610 Buford Rd
North Chesterfield, VA 23235
Phone (804) 923-3933

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1700648417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 BUFORD RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-923-3933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6055 Highway 124 W Ste 110",
            "address_purpose": "LOCATION",
            "city": "Hoschton",
            "state": "GA",
            "postal_code": "305485534",
            "country_code": "US",
            "telephone_number": "706-654-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARKENTON",
        "first_name": "DAVIS",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-29",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP052206T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.