Alysha P Davis-Barth, DPT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

070013030 Issued in IL

Practice address

1089 Jason PL
Chatham, IL 62629-2018

Phone

(217) 483-5858

Fax

(217) 483-5855

NPI assigned

Jul 6, 2006

Last updated

Apr 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1740212455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 JASON PL",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626292018",
            "telephone_number": "217-483-5858",
            "fax_number": "217-483-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 JASON PL",
            "city": "CHATHAM",
            "state": "IL",
            "postal_code": "626292018",
            "telephone_number": "217-483-5858",
            "fax_number": "217-483-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-BARTH",
        "first_name": "ALYSHA",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070013030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "070013030",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Corriveau
• Catherine Crabtree, M.D.
• James T Crabtree, M.D.
• Valerie Creviston, DPT
• Mary Sue Daily, MA,CCC-SP
• Emilee Davison
• Tara M. Dillon, AGPCNP-BC
• Colleen Mary Dinges, LPN II, CST
• Kristina Doan
• Elizabeth Donaldson, PTA

• Physical Medicine & Rehabilitation Physician in Chatham, IL
• Providers in Chatham, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.