Individual provider Active NPI

Nathan Lloyd Davis, DPT

  • Physical Therapist
  • Ormond Beach, FL
National Provider Identifier
1740683366
Registry record updated Sep 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28743 Issued in FL
Practice address
725 W Granada Blvd Ste 22
Ormond Beach, FL 32174-9406
Phone
(386) 788-2300
NPI assigned
Sep 28, 2014
Last updated
Sep 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2014

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 28743 FL Primary
Physical Therapist 225100000X 06866 OR

Addresses

Primary practice location

725 W Granada Blvd Ste 22
Ormond Beach, FL 32174-9406

Mailing address

725 W Granada Blvd Ste 22
Ormond Beach, FL 32174-9406
Phone (386) 788-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200407002413 AK Practitioner - Physical Therapist in Private Practice 2567891898 Reassigns benefits to 1 organization
I20210825001880 FL Practitioner - Physical Therapist in Private Practice 2567891898 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28743FLMDPhysical Therapist
06866ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy of FL LLC CurrentSince Oct 21, 2025 Accepting new patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince May 18, 2024 Accepting new patients
Integrated Therapy of FL LLC CurrentSince Oct 21, 2025 Accepting new patients
Coastal Neurology, Inc. CurrentSince Aug 11, 2021 Accepting new patients
Integrated Therapy of FL LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Arctic Rehabilitation and Physical Therapy Homer CurrentSince May 24, 2022 Accepting new patients

Locations

345 Sterling Hwy
Ste 102A
Homer, AK 99603
Phone (907) 235-3618

1150 S Colony Way
Ste 3
Palmer, AK 99645

1150 S Colony Way
Ste 3226
Palmer, AK 99645

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

4775 Windsor Commons Ct
Jacksonville, FL 32224

760 S Volusia Ave
Ste 400
Orange City, FL 32763
Phone (386) 774-0220

725 W Granada Blvd
Ste 22
Ormond Beach, FL 32174
Phone (386) 274-0097

300 Davis Park Rd
Ponte Vedra Beach, FL 32081

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
Phone (770) 443-4483

Organizations & group practices 6

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": "1411862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411862400000",
    "number": "1740683366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W GRANADA BLVD STE 22",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749406",
            "telephone_number": "386-788-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W GRANADA BLVD STE 22",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749406",
            "telephone_number": "386-788-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NATHAN",
        "middle_name": "LLOYD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-28",
        "last_updated": "2014-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "28743",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.