Parikshit Jayant Davda

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1257519 Issued in TX

Practice address

1620 Magbolia Street
Liberty, TX 77575

Phone

(936) 336-8844

NPI assigned

Oct 30, 2020

Last updated

Oct 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1750981502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 N MAJOR DR APT 2324",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777138679",
            "telephone_number": "409-291-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 MAGBOLIA STREET",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "77575",
            "telephone_number": "936-336-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVDA",
        "first_name": "PARIKSHIT",
        "middle_name": "JAYANT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1257519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dale W Brock (Trinity Valley Clinic)
• Sheri L Dark, M.D.
• Gradee L Davis, PHARM.D.
• Tina Lynn Davis
• Dayton Health Bridges
• Devers I.S.D.
• Devers Isd

• Physical Therapy Clinic/Center in Liberty, TX
• Providers in Liberty, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.