Jordan Davies

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

010572 Issued in NY

Practice address

8746 Erie Rd Ste a
Angola, NY 14006-9620

Phone

(716) 549-4999

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

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

State licenses

Practice roles

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.

• Body Werks Physical Therapy PLLC

  • Physical Therapist
  • Fredonia, NY
  • NPI 1669875415
  NPD (past)
• Lakeside Medical Care PLLC

  • Urgent Care Clinic/Center
  • Angola, NY
  • NPI 1215307657
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1851847636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 MOORE RD",
            "city": "FREEDOM",
            "state": "NY",
            "postal_code": "140659764",
            "telephone_number": "716-353-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8746 ERIE RD STE A",
            "city": "ANGOLA",
            "state": "NY",
            "postal_code": "140069620",
            "telephone_number": "716-549-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "010572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Marie Catalano, OT
• Martha Chiavetta, FDN
• Karie Colantino
• Casey Cole
• Hannah Cooper, FNP
• Jessica Denisco
• Olivia Leah Dougherty, L.P.N
• Katherine Dryndas
• Bernard M Eisen, DDS
• Brooke Noelle Eister

• Physical Therapy Assistant in Angola, NY
• Providers in Angola, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.