Active NPI
Rhiannon Leigh Davis, PTA
- Physical Therapy Assistant
- Waterbury, VT
National Provider Identifier
1720537509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 041.0133901
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0013749 | CO | MD | Physical Therapy Assistant |
| 041.0133901 | VT | MD | Physical 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.