Angela Davis, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305003090 Issued in VA

Practice address

16000 Johnston Memorial Dr Ste 100
Abingdon, VA 24211-7664

Phone

(276) 477-1443

NPI assigned

Mar 20, 2007

Last updated

Sep 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.davis.1@1366.direct.athenahealth.com

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.

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• Appalachian Orthopaedic Associates P C

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• Gunderman Chiropractic & Wellness LLC

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• Hampshire Center

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  • Romney, WV
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  NPD (past)
• Romney Health Care Center LTD PTR

  dba Hampshire Center

  • Skilled Nursing Facility
  • Romney, WV
  • NPI 1427084110
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1851416507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 FORT HENRY DR STE 300",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632256",
            "telephone_number": "423-239-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR STE 100",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-477-1443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Park Blvd Ste 300E",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207497",
            "country_code": "US",
            "telephone_number": "423-844-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ANGELA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Wayne Daugherty, PHARMD
• Brandy Davenport, AU.D., CCC-A
• Breanna Davenport, MBA, VATL, ATC
• Ephraim David, DO
• Hannah Rose Davidson
• Daniel Travis Davis, LPC
• Rebekah Christine Davis, FNP
• Timothy Mark Davis, MD
• Brian Christopher Dawson, MD
• Mary Hebert Dawson, M.D.

• Physical Therapist in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.