Brandon Thomas Davis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A6010 Issued in NC

Practice address

3800 Independence Blvd
Wilmington, NC 28412-2599

Phone

(910) 444-0513

NPI assigned

Aug 14, 2017

Sex

Male

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

State licenses

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1841716628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 MARCH CT APT D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053571",
            "telephone_number": "910-902-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 INDEPENDENCE BLVD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122599",
            "telephone_number": "910-444-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRANDON",
        "middle_name": "THOMAS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A6010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davis Eye Associates OD, PA (Dba Family Vision Clinic)
• Davis Healthcare Center
• Davis Home Health Services LLC (Caring Senior Service of Wilmington)
• Angela Davis
• Benjamin Robert Davis, CADC, CPSS
• Brenda Jackson Davis, LPC
• Catherine W. Davis, L.P.A.
• Daniel L Davis, LMBT
• Effie Rigsbee Davis, CNA
• Erin Davis, MS.ED

• Physical Therapy Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.