Active NPI
Gregory S Davis, PT
- Physical Therapist
- Millburn, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00979300
- Practice address
- 161 Millburn Ave
Millburn, NJ 07041-1825 - Phone
- (973) 376-7100
- Fax
- (973) 376-7101
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00979300 | NJ | Primary |
Addresses
Primary practice location
161 Millburn Ave
Millburn, NJ 07041-1825
Mailing address
161 Millburn Ave
Millburn, NJ 07041-1825
Phone (973) 376-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Greenwood Ave
Montclair, NJ 07042-3649
Phone (973) 746-2424
70 Ridge Rd
Lyndhurst, NJ 07071-1216
Phone (201) 933-9959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA00979300 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rothman Orthopaedics of New Jersey, LLC | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Rothman Institute of New Jersey, P.a. | Current | Accepting new patients | |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
70 Ridge Rd
Lyndhurst, NJ 07071
Phone (201) 933-4775
999 Route 73 N
Ste 401
Marlton, NJ 08053
1 Greenwood Ave
Montclair, NJ 07042
Phone (973) 746-2424
524 Williamstown Rd
Ste B1
Sicklerville, NJ 08081
Phone (856) 516-0591
68 River Rd
Summit, NJ 07901
Phone (908) 277-0800
1500 Pleasant Valley Way
Ste 102
West Orange, NJ 07052
Phone (973) 325-3422
576 Broadhollow Rd
Melville, NY 11747
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Sicklerville, NJ
- NPI 1215487772
Physical Therapist
-
- Orthopaedic Surgery Physician
- Marlton, NJ
- NPI 1215978630
-
- Occupational Therapist
- Randolph, NJ
- NPI 1104376680
Physical Therapist
-
- Occupational Therapist
- South Plainfield, NJ
- NPI 1487170973
Physical Therapist
-
- Prosthetic/Orthotic Supplier
- Manahawkin, NJ
- NPI 1831611243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249603200000",
"number": "1801995998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 MILLBURN AVE",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411825",
"telephone_number": "973-376-7100",
"fax_number": "973-376-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 MILLBURN AVE",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411825",
"telephone_number": "973-376-7100",
"fax_number": "973-376-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "GREGORY",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2009-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00979300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millburn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.