Individual provider Active NPI

Diana Margaret Davis, MSPT

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1750524567
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1182179 Issued in TX
Practice address
1845 Northwestern Dr
Ste B
El Paso, TX 79912-1156
Phone
(915) 875-1559
Fax
(915) 877-9357
NPI assigned
Apr 8, 2009
Last updated
Apr 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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 1182179 TX Primary

Addresses

Primary practice location

1845 Northwestern Dr
Ste B
El Paso, TX 79912-1156

Mailing address

1845 Northwestern Dr
Ste B
El Paso, TX 79912-1156
Phone (915) 875-1559

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1182179TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Real View Diagnostics LLC Physical Therapist CurrentSince May 30, 2016 Accepting new patients

Locations

2404 S Locust St
Ste 5
Las Cruces, NM 88001
Phone (505) 521-4188

1845 Northwestern Dr
Ste B
El Paso, TX 79912
Phone (915) 875-1559

Organizations & group practices 1

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": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1750524567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 NORTHWESTERN DR",
            "address_2": "STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121156",
            "telephone_number": "915-875-1559",
            "fax_number": "915-877-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 NORTHWESTERN DR",
            "address_2": "STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121156",
            "telephone_number": "915-875-1559",
            "fax_number": "915-877-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DIANA",
        "middle_name": "MARGARET",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1182179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.