Cynthia Suzanne Davis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA21444 Issued in FL

Practice address

146 SW Orthopaedic CT
Lake City, FL 32024-0671

Phone

(386) 755-9215

Fax

(386) 755-6469

NPI assigned

Oct 9, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1760633689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072245",
            "telephone_number": "352-336-6000",
            "fax_number": "352-332-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 SW ORTHOPAEDIC CT",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320240671",
            "telephone_number": "386-755-9215",
            "fax_number": "386-755-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CYNTHIA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA21444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David C Terrell Jr Arnp, PA
• David F Randolph DMD PA
• David G Fanney, DO PA
• Tracie Lynn David-Dean, RN, BSN
• Andrea Lechele Davis
• Jennifer Ashley Davis, MSW, LCSW
• Moriole C Davis I
• Paran Kathleen Davis
• Patricia A Davis
• Rabecca Nicole Dawson

• Physical Therapy Assistant in Lake City, FL
• Providers in Lake City, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.