Individual provider Active NPI

Michelle Sarah Davis, DPT

  • Physical Medicine & Rehabilitation Physician
  • Wrightstown, NJ
National Provider Identifier
1841423282
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4OQA01329100 Issued in NJ
Practice address
195 Chesterfield Jacobstown Rd
Wrightstown, NJ 08562
Phone
(908) 770-5765
NPI assigned
Sep 2, 2009
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4OQA01329100 NJ Primary

Addresses

Primary practice location

195 Chesterfield Jacobstown Rd
Wrightstown, NJ 08562

Mailing address

195 Chesterfield Jacobstown Rd
Wrightstown, NJ 08562-1919
Phone (908) 770-5765

Other practice location 1

2123 Route 35
Sea Girt, NJ 08750-1003
Phone (732) 449-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DC, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110203000170 NJ Practitioner - Physical Therapist in Private Practice 2769662048 Reassigns benefits to 2 organizations
I20251209002842 DC Practitioner - Physical Therapist in Private Practice 2769662048 Reassigns benefits to 1 organization
I20260415004057 FL Practitioner - Physical Therapist in Private Practice 2769662048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Attain Physical TherapyGroup PAC ID 6305272659, 68 clinicians

Practice addresses (Care Compare)

2010 S Ridgewood Ave
Edgewater, FL 32141-4253
Phone (855) 428-8246

2100 Massachusetts Ave NW
Washington, DC 20008-2807
Phone (855) 428-8246

46 Stony Hill Rd
Bethel, CT 06801-3034
Phone (855) 428-8246

766 Broad St
Shrewsbury, NJ 07702-4203
Phone (855) 428-8246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4OQA01329100NJMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Attain Physical Therapy CurrentSince Jan 21, 2022 Accepting new patients
Max Health Therapies CurrentSince Dec 3, 2021 Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
Strive2Move Past Accepting new patients

Locations

46 Stony Hill Rd
Bethel, CT 06801
Phone (203) 207-4100

63 Industrial Rd
Berkeley Heights, NJ 07922
Phone (908) 547-0729

1775 Oak Tree Rd
Edison, NJ 08820

1275 Bloomfield Ave
Ste 60
Fairfield, NJ 07004

1719 Main St
Unit 101
Lake Como, NJ 07719

1405 Route 18
Ste 203
Old Bridge, NJ 08857
Phone (732) 576-3550

381 State Rt 23
Pompton Plains, NJ 07444
Phone (973) 766-3985

Organizations & group practices 4

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": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1841423282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 CHESTERFIELD JACOBSTOWN RD",
            "city": "WRIGHTSTOWN",
            "state": "NJ",
            "postal_code": "085621919",
            "telephone_number": "908-770-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 CHESTERFIELD JACOBSTOWN RD",
            "city": "WRIGHTSTOWN",
            "state": "NJ",
            "postal_code": "08562",
            "telephone_number": "908-770-5765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2123 Route 35",
            "address_purpose": "LOCATION",
            "city": "Sea Girt",
            "state": "NJ",
            "postal_code": "087501003",
            "country_code": "US",
            "telephone_number": "732-449-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHELLE",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "4OQA01329100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrightstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.