William R Davis Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA32396 Issued in FL

Practice address

6843 N Citrus Ave
Crystal River, FL 34428-6933

Phone

(352) 322-6093

NPI assigned

Jun 7, 2023

Last updated

Jun 7, 2023By 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

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1770277287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E REEL LOOP",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344344219",
            "telephone_number": "352-201-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6843 N CITRUS AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286933",
            "telephone_number": "352-322-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA32396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Danclar, MD
• Deborra Jean Daniels, COTA/L
• Yelandra Daniels, M.D.
• David Kreinbrook, PA (7 Rivers Chiropractic Center)
• Connie Davis, ARNP,CWON,DAPWCA
• Thomas W Dawson, OD
• Debbies Kids,Inc
• John R Degraw, M.D.
• Jeffrey Eugene Depaul, PH.D., LMHC
• Desaraju & Kompella, P.a. (Hospitalists Of Citrus County)

• Physical Therapy Assistant in Crystal River, FL
• Providers in Crystal River, 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 Jun 7, 2023; 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.