Nicole Faye Davis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292373 Issued in CA

Practice address

2000 Van Ness Ave
Suite 603
San Francisco, CA 94109-3023

Phone

(415) 440-7600

Fax

(415) 440-6803

NPI assigned

Nov 7, 2016

Sex

Female

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)

Enrolled

State licenses

Practice roles

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.

• Prendergast and Rummer Phys Therapy Pelvic Health & Rehabiliation Ctr

  • Physical Therapy Clinic/Center
  • San Francisco, CA
  • NPI 1205112174

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1821530957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE",
            "address_2": "SUITE 603",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093023",
            "telephone_number": "415-440-7600",
            "fax_number": "415-440-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 VAN NESS AVE",
            "address_2": "SUITE 603",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941093023",
            "telephone_number": "415-440-7600",
            "fax_number": "415-440-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "middle_name": "FAYE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Berton Davis, RN
• Leslie Rhea Davis, MSW, LCSW
• Marika Davis, MA, LMFT
• Michael S Davis
• Natalie Davis, FNP
• Patricia Davis
• Patricia Ann Davis, MFT
• Paul Robeson Davis, MS, APCC
• Peter Davis
• Preston Davis, PSY.D.

• Physical Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.