Amy Jo Davison, D.O.

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

243611 Issued in NY

Practice address

197 County Route 10
Germantown, NY 12526-5022

Phone

(518) 567-9977

Fax

(518) 851-3410

NPI assigned

Mar 6, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 2, 2017 through Sep 2, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1831369719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 COUNTY ROUTE 10",
            "city": "GERMANTOWN",
            "state": "NY",
            "postal_code": "125265022",
            "telephone_number": "518-567-9977",
            "fax_number": "518-851-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 COUNTY ROUTE 10",
            "city": "GERMANTOWN",
            "state": "NY",
            "postal_code": "125265022",
            "telephone_number": "518-567-9977",
            "fax_number": "518-851-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "AMY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "243611",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "NY",
            "license": "243611",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "243611",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "243611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Susanne Beattie
• Sandra J Bohnsack, RN
• Talia Brooks-Salzman, L.AC, MSOM
• Susanne Stephanie Cianfoni, R.N.
• Judith M Creecy, LCSW
• Shirley T. Dorion, M.S.ED., CCC/SLP
• Germantown Central School District
• Dorothy Marie Glover, R.N.
• Lauren Stephanie Gordon, MSW, LSCW
• Renee L Grzeskow

• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Germantown, NY
• Providers in Germantown, NY by specialty
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.