Organization Active NPI

Davis Physical Therapy P.a.

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1770980237
Registry record updated Nov 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25261 Issued in FL
Legal business name
DAVIS PHYSICAL THERAPY P.A.
Practice address
7685 103Rd St
Suite 1
Jacksonville, FL 32210-9325
Phone
(904) 771-1116
NPI assigned
Nov 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2014

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

Authorized official

Name
Mr. Stephen T Davis, P.TNPI 1992771851
Title
Ceo
Phone
(904) 287-9969

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT25261 FL Primary

Addresses

Primary practice location

7685 103Rd St
Suite 1
Jacksonville, FL 32210-9325

Mailing address

227 Tadcaster CT
Saint Johns, FL 32259-7256
Phone (904) 287-9969

Other identifiers 1

IdentifierTypeStateIssuer
1992771851OtherFLNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417132800000",
    "number": "1770980237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 TADCASTER CT",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597256",
            "telephone_number": "904-287-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 103RD ST",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322109325",
            "telephone_number": "904-771-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS PHYSICAL THERAPY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-28",
        "last_updated": "2014-11-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-287-9969",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992771851",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; 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.