Individual provider Active NPI

Allyson Marie Davidson, DPT

  • Physical Therapist
  • Storm Lake, IA
National Provider Identifier
1750019956
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
115113 Issued in IA
Practice address
315 W 5TH St
Storm Lake, IA 50588-1743
Phone
(712) 732-7724
Fax
(712) 732-1275
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 115113 IA Primary

Addresses

Primary practice location

315 W 5TH St
Storm Lake, IA 50588-1743

Mailing address

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

Other practice location 1

1101 N 2nd St
Cherokee, IA 51012-1199
Phone (712) 225-3344

Other practice location 2

521 Ia-39
Denison, IA 51442
Phone (712) 393-7724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11623 Arbor St
Omaha, NE 68144-2934

315 W 5TH St
Storm Lake, IA 50588-1743

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115113IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Rehab and Professional Therapy Associates Inc Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients
Sports Rehab & Professional Therapy Associates PastSince Aug 28, 2022 Accepting new patients

Locations

1101 N 2nd St
Cherokee, IA 51012
Phone (712) 225-3344

521 Highway 39
Denison, IA 51442
Phone (712) 393-7724

315 W 5th St
Storm Lake, IA 50588
Phone (712) 732-7724

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1750019956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881743",
            "telephone_number": "712-732-7724",
            "fax_number": "712-732-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 5TH ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881743",
            "telephone_number": "712-732-7724",
            "fax_number": "712-732-1275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 N 2nd St",
            "address_purpose": "LOCATION",
            "city": "Cherokee",
            "state": "IA",
            "postal_code": "510121199",
            "country_code": "US",
            "telephone_number": "712-225-3344",
            "fax_number": "712-225-3353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 IA-39",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "IA",
            "postal_code": "51442",
            "country_code": "US",
            "telephone_number": "712-393-7724",
            "fax_number": "712-393-5153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ALLYSON",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "115113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.