Shannon Davis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30273 Issued in CA

Practice address

1485 Nettle Creek Way
Chula Vista, CA 91915-1632

Phone

(410) 212-2419

NPI assigned

Aug 12, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inspiration PT

  • PACE Provider Organization
  • Chula Vista, CA
  • NPI 1417321100
  NPD (past) Authorized official

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1841666948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212913",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919212913",
            "telephone_number": "410-212-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 NETTLE CREEK WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151632",
            "telephone_number": "410-212-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHANNON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin W Davis
• Eric Scott Davis
• Maria Davis
• Mary Kathryn Davis, RN
• Sarah Katherine Davis, LM, CPM
• Stephanie Davis
• Kayla Nichole Davison
• Michele Lee Davison, PT, DPT
• Farah Zuhair Dawood, MD MS
• Rebecca Corrales Dawson, BS, CAADAC, CATC

• Physical Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.