Jesse Davenport

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1529 Hunt Club Blvd Ste 100
Gallatin, TN 37066-6066

Phone

(615) 714-8732

NPI assigned

May 18, 2016

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 TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Tennessee, HSC, College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Elevate Total Wellness LLC

  dba The Movement Shop

  • Physical Therapist
  • Gallatin, TN
  • NPI 1053041996
  Medicare reassignment NPD Authorized official
• TN Therapy Outsource, LLC

  dba Gerihab Physical Therapy and Wellness

  • Physical Therapist
  • Jackson, TN
  • NPI 1891285185
  Medicare reassignment NPD
• Elevate Physical Therapy, Inc.

  • Physical Therapist
  • Gallatin, TN
  • NPI 1114561503
  NPD Authorized official
• Physical Therapy of Jackson PC.

  • Physical Therapy Clinic/Center
  • Jackson, TN
  • NPI 1841247418
  NPD (past)
• Star Physical Therapy LP

  • Rehabilitation Clinic/Center
  • Bolivar, TN
  • NPI 1417404351
  NPD (past)
• Star Physical Therapy LP

  • Physical Therapist
  • Caruthersville, MO
  • NPI 1073375861
  NPD (past)

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1851748958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 HUNT CLUB BLVD STE 100",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666066",
            "telephone_number": "615-714-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 HUNT CLUB BLVD STE 100",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666066",
            "telephone_number": "615-714-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "JESSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brigette Dabiere, LCSW
• Melinda Dabio, OTD OTR/L
• Tysheona Dalton
• Nicholas J Dantzker, M.D.
• Amy Nicole Daughtry, RN
• Nichelle Irene Davey, M.D., PH.D.
• Alexandria Tanyell Davis-Hamilton, NP
• Abbriele B Davis, OTR
• Raevynn Davis, SLP-CCC
• Suzanne Jeannette Davis, M.A.

• Physical Therapist in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.