Individual provider Active NPI

Rhiannon Leigh Davis, PTA

  • Physical Therapy Assistant
  • Waterbury, VT
National Provider Identifier
1720537509
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
041.0133901 Issued in VT
Practice address
191 Kimberly LN Apt 10
Waterbury, VT 05676-7003
Phone
(267) 608-7951
NPI assigned
Sep 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0013749 CO
Physical Therapy Assistant 225200000X 041.0133901 VT Primary

Addresses

Primary practice location

191 Kimberly LN Apt 10
Waterbury, VT 05676-7003

Mailing address

191 Kimberly LN Apt 10
Waterbury, VT 05676-7003
Phone (267) 608-7951

Other practice location 1

810 Arcturus Drive
Colorado Springs, CO 80905
Phone (719) 444-0381

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

LicenseStateTypeSpecialty
0013749COMDPhysical Therapy Assistant
041.0133901VTMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1720537509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 KIMBERLY LN APT 10",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056767003",
            "telephone_number": "267-608-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 KIMBERLY LN APT 10",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056767003",
            "telephone_number": "267-608-7951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Arcturus Drive",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80905",
            "country_code": "US",
            "telephone_number": "719-444-0381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RHIANNON",
        "middle_name": "LEIGH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0013749",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VT",
            "license": "041.0133901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.