Active NPI
Steve Davis, PT
- Physical Therapist
- Portland, OR
National Provider Identifier
1881708022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3994
- Practice address
- 3025 N Vancouver Ave
Portland, OR 97227-1542 - Phone
- (503) 413-2897
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3994 | OR | Primary |
Addresses
Primary practice location
3025 N Vancouver Ave
Portland, OR 97227-1542
Mailing address
2530 SW Stanley CT
Portland, OR 97219-6244
Phone (503) 449-5285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226608 | Other | OR | OMAP# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3994 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Emanuel Hospital & Health Center | Past | Accepting new patients | |
| Legacy Clinics LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1881708022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 SW STANLEY CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972196244",
"telephone_number": "503-449-5285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 N VANCOUVER AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271542",
"telephone_number": "503-413-2897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "STEVE",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP#",
"identifier": "226608",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.