Active NPI
Douglas William Davis, PT
- Physical Therapist
- Shelton, WA
National Provider Identifier
1831496215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00006439
- Practice address
- 2430 N 13TH St
Shelton, WA 98584-1213 - Phone
- (360) 426-1651
- NPI assigned
- Feb 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00006439 | WA | Primary |
| Physical Therapist | 225100000X | RPT1028 | ID |
Addresses
Primary practice location
2430 N 13TH St
Shelton, WA 98584-1213
Mailing address
6411 S Springview St
Spokane, WA 99224-8814
Phone (509) 979-2900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPT1028 | ID | MD | Physical Therapist |
| 00006439 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1831496215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6411 S SPRINGVIEW ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992248814",
"telephone_number": "509-979-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 N 13TH ST",
"city": "SHELTON",
"state": "WA",
"postal_code": "985841213",
"telephone_number": "360-426-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DOUGLAS",
"middle_name": "WILLIAM",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-18",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00006439",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "RPT1028",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.