Active NPI
Elliott Thrasher Davis, PT, DPT
- Physical Therapist
- Spokane, WA
National Provider Identifier
1821345836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60291819
- Practice address
- 7407 N Division St
B
Spokane, WA 99208-5689 - Phone
- (509) 448-9358
- NPI assigned
- Aug 8, 2012
- Sex
- Male
- Sole proprietor
- No
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 | PT60291819 | WA | Primary |
Addresses
Primary practice location
7407 N Division St
B
Spokane, WA 99208-5689
Mailing address
7407 N Division St
B
Spokane, WA 99208-5689
Phone (509) 448-9358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1821345836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7407 N DIVISION ST",
"address_2": "B",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992085689",
"telephone_number": "509-448-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7407 N DIVISION ST",
"address_2": "B",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992085689",
"telephone_number": "509-448-9358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ELLIOTT",
"middle_name": "THRASHER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60291819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.