Individual provider Active NPI

Amy Dawn Davis, PT, DPT

  • Physical Therapist
  • Sedona, AZ
National Provider Identifier
1871754697
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6130 Issued in AZ
Practice address
505 Jacks Canyon Rd
Sedona, AZ 86351-7856
Phone
(928) 284-2411
Fax
(928) 284-2439
NPI assigned
Jun 24, 2008
Last updated
Nov 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6130 AZ Primary
Hand Physical Therapist 2251H1200X 6130 AZ
Orthopedic Physical Therapist 2251X0800X 6130 AZ

Addresses

Primary practice location

505 Jacks Canyon Rd
Sedona, AZ 86351-7856

Mailing address

PO Box 5274
Lake Montezuma, AZ 86342-5274
Phone (928) 699-7938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041122000481 AZ Practitioner - Physical Therapist in Private Practice 9032174883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 Bell Rock PLZ
Suite B
Sedona, AZ 86351-9099
Phone (928) 284-4755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6130AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Physical Therapy LLC CurrentSince Oct 1, 2015 Accepting new patients

Locations

31 Bell Rock Plz
Ste B
Sedona, AZ 86351
Phone (928) 284-4755

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1871754697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5274",
            "city": "LAKE MONTEZUMA",
            "state": "AZ",
            "postal_code": "863425274",
            "telephone_number": "928-699-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 JACKS CANYON RD",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863517856",
            "telephone_number": "928-284-2411",
            "fax_number": "928-284-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6130",
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "AZ",
            "license": "6130",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "6130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.