Michael Ryan Davenport

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

2575 Issued in AR

Practice address

220 McAuley CT
Hot Springs, AR 71913-6312

Phone

(501) 762-5864

NPI assigned

Aug 5, 2022

Last updated

Aug 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in AR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  AR

  Medicare reassignment Care Compare group
• Brookfield Physical Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Hot Springs, AR
  • NPI 1891339719
  NPD

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1821725235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SAINT CHARLES CIR",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017953",
            "telephone_number": "501-733-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MCAULEY CT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136312",
            "telephone_number": "501-762-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "AR",
            "license": "2575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Twylla Danner, RECOVERY ASSISTANT
• Andrew Mi Daugherty, MD
• Melanie Daugherty
• Christy Davenport, RDN
• Matthew Davenport
• David Ashley MD DMD Oral Surgery Group, a Professional Dental Corp (Oral Surgery and Wisdom Teeth of Hot Springs)
• David M Robbins DDS
• Madelyn Davidiak, L.M.S.W.
• Jennifer Davidson
• Susan Davidson

• Geriatric Physical Therapist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Geriatric Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.

Verify at the official NPI Registry.