Ariel Loraine Davila, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5668 Issued in NM

Practice address

1800 Old Pecos TRL
Santa Fe, NM 87505-4759

Phone

(505) 424-8777

Fax

(505) 424-9777

NPI assigned

Feb 5, 2020

Last updated

Feb 5, 2020By the provider in NPPES

Sex

Female

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

Enrolled in NM

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• PTP Inc

  dba Physical Therapy Plus

  • Orthopedic Physical Therapist
  • Los Alamos, NM
  • NPI 1578105433
  Medicare reassignment
• Physical Therapy Plus Inc

  • Physical Therapist
  • Los Alamos, NM
  • NPI 1023076197
  NPD

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1770115032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 CANYON RD APT 5305",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875446203",
            "telephone_number": "817-243-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 OLD PECOS TRL",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054759",
            "telephone_number": "505-424-8777",
            "fax_number": "505-424-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "ARIEL",
        "middle_name": "LORAINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantell Davidson, BMS
• Colleen Davidson
• Edward Davidson, LICSW
• Molly Davidson
• Joalie Emmanuelle Davie, M.D.
• Ava Davis
• Chad Joseph Davis, DDS
• Genevieve Anna Davis, MHC, MFT
• Jane Davis, LMSW
• Jefferson K Davis, M.D.

• Physical Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.