Individual provider Active NPI

Allison Davidson, PTA

  • Physical Therapy Assistant
  • Bartlesville, OK
National Provider Identifier
1831789551
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1742 Issued in OK
Practice address
2503 SE Washington Blvd Ste 2
Bartlesville, OK 74006-7608
Phone
(918) 876-3898
NPI assigned
Jan 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1742 OK Primary

Addresses

Primary practice location

2503 SE Washington Blvd Ste 2
Bartlesville, OK 74006-7608

Mailing address

2438 Highway 75
Havana, KS 67347-9549

Other practice location 1

2438 Highway 75
Havana, KS 67347-9549
Phone (620) 205-7332

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1742OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Rehabilitation P.C. CurrentSince Jan 31, 2021 Accepting new patients

Locations

2503 SE Washington Blvd
Ste 2
Bartlesville, OK 74006
Phone (918) 876-3898

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1831789551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 HIGHWAY 75",
            "city": "HAVANA",
            "state": "KS",
            "postal_code": "673479549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 SE WASHINGTON BLVD STE 2",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740067608",
            "telephone_number": "918-876-3898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2438 Highway 75",
            "address_purpose": "LOCATION",
            "city": "Havana",
            "state": "KS",
            "postal_code": "673479549",
            "country_code": "US",
            "telephone_number": "620-205-7332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ALLISON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "1742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.