Active NPI
Katherine Davey, PT
- Physical Therapist
- Ankeny, IA
National Provider Identifier
1811907751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03216
- Practice address
- 800 E 1St St
Suite W270
Ankeny, IA 50021-2077 - Phone
- (515) 643-7555
- Fax
- (515) 643-7560
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Physical Therapist
- West Des Moines, IA
- NPI 1609820133
IA, Physical Therapist
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Core Physical Therapy Inc
Practice addresses (Care Compare)
1200 Valley W Dr
Suite 300
West Des Moines, IA 50266-1904
Phone (515) 440-3439
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060411000742 | IA | Practitioner - Physical Therapist in Private Practice | 4688683196 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03216 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
1200 Valley West Dr
Ste 300
West Des Moines, IA 50266
Phone (515) 440-3439
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 03216 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
800 E 1St St
Suite W270
Ankeny, IA 50021-2077
Mailing address
1055 6TH Ave
Suite 200
Des Moines, IA 50314-2607
Phone (515) 643-8672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811907751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 6TH AVE",
"address_2": "SUITE 200",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142607",
"telephone_number": "515-643-8672",
"fax_number": "515-643-2784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 1ST ST",
"address_2": "SUITE W270",
"city": "ANKENY",
"state": "IA",
"postal_code": "500212077",
"telephone_number": "515-643-7555",
"fax_number": "515-643-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVEY",
"first_name": "KATHERINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.