Matthew James Davis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05015127A Issued in IN

Practice address

1150 W 86TH St
Indianapolis, IN 46260-2257

Phone

(317) 688-7660

Fax

(317) 580-0107

NPI assigned

Jun 8, 2023

Last updated

Sep 25, 2024By the provider in NPPES

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

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primus HealthGroup PAC ID 6406179050, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Primus Health

  • Physical Therapy Clinic/Center
  • Indianapolis, IN
  • NPI 1134534134

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1851085179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 CHURCHMAN AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462032919",
            "telephone_number": "765-516-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602257",
            "telephone_number": "317-688-7660",
            "fax_number": "317-580-0107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8140 Township Line Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462605824",
            "country_code": "US",
            "telephone_number": "317-875-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1086 N Avon Ave",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461238863",
            "country_code": "US",
            "telephone_number": "317-660-0235",
            "fax_number": "317-940-5669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015127A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret J Davis
• Marilyn Davis
• Martha M Davis, PSY.D.
• Mary Davis, CCC-SLP
• Mary Margaret Davis, M.D., M.S.
• Matthew Miller Davis, D.D.S
• Matthew Tsubasa Davis
• McKenzie Davis
• Melissa H Davis
• Michael Antonia Davis, D.D.S.

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.