Active NPI
Hal Alexander Davidson, PTA
- Physical Therapy Assistant
- Gatesville, TX
National Provider Identifier
1720569080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 206144
- Practice address
- 300 S Highway 36 Byp N
Gatesville, TX 76528-2764 - Phone
- (254) 865-7575
- Fax
- (254) 404-2255
- NPI assigned
- Aug 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 206144 | TX | Primary |
Addresses
Primary practice location
300 S Highway 36 Byp N
Gatesville, TX 76528-2764
Mailing address
300 S Highway 36 Byp N
Gatesville, TX 76528-2764
Phone (254) 865-6293
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 |
|---|---|---|---|
| 206144 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1720569080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S HIGHWAY 36 BYP N",
"city": "GATESVILLE",
"state": "TX",
"postal_code": "765282764",
"telephone_number": "254-865-6293",
"fax_number": "254-404-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S HIGHWAY 36 BYP N",
"city": "GATESVILLE",
"state": "TX",
"postal_code": "765282764",
"telephone_number": "254-865-7575",
"fax_number": "254-404-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "HAL",
"middle_name": "ALEXANDER",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "206144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gatesville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.