Lincoln Wayne Davis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2082140 Issued in TX

Practice address

1004 E Main St Ste D
Rockport, TX 78382-2610

Phone

(361) 727-6141

NPI assigned

Nov 28, 2017

Last updated

Nov 28, 2017By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Rockport Therapy Clinic, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Rockport, TX
  • NPI 1487169843
  NPD (past) Authorized official

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1760996748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E MAIN ST STE D",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783822610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 E MAIN ST STE D",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783822610",
            "telephone_number": "361-727-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINCOLN",
        "middle_name": "WAYNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2082140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Medical Suites
• Rebecca Coats, M.D.
• Code 3 Emergency Physicians, PA
• Codorniz Billing, LLC (Family Medicine of Rockport)
• Irvin Corre, PMHNP
• Miguel L Desocarraz Jr., PHD
• Erlinda Devera, MD
• Diabetes and Cardiovascular of Rockport, PLLC
• Ladislav Doupnik, M.D.
• Dr. Melecio F Apostol M.D.

• Physical Therapy Assistant in Rockport, TX
• Providers in Rockport, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.