Nikki N Davis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020082 Issued in PA

Practice address

2510 7TH Ave
Altoona, PA 16602-2217

Phone

(814) 944-6535

Fax

(814) 944-6545

NPI assigned

Jul 30, 2009

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

Other names 1

• Miss Nikki Noelle Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Evolution Alternative Physical Therapy & Wellness Studio LLC

  dba Evolution Physical Therapy

  • Physical Therapist
  • Altoona, PA
  • NPI 1093736225
  NPD

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1831320449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 7TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022217",
            "telephone_number": "814-944-6535",
            "fax_number": "814-944-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 7TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022217",
            "telephone_number": "814-944-6535",
            "fax_number": "814-944-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NIKKI",
        "middle_name": "N",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "DAVIS",
            "middle_name": "NOELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ruth Agnes Daughenbaugh, OTR L
• Caitlin Davis, MSW, LSW
• Chaliah Patrice Davis
• Gillian May Davis, PA-C
• Joy Parrish Davis, MS
• Pamela J Davis, RN
• Karen Day, CRNP
• Eric Decriscio
• Ashley Lynne Deetscreek
• Lance C Defrancisco, M.D.

• Physical Therapist in Altoona, PA
• Providers in Altoona, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.