Individual provider Active NPI

Heather Ginn Davis, PT, COMT

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1881874972
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25723 Issued in CA
Practice address
3727 Buchanan St
Ste. 205
San Francisco, CA 94123-5410
Phone
(415) 593-2532
NPI assigned
Nov 6, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25723 CA Primary

Addresses

Primary practice location

3727 Buchanan St
Ste. 205
San Francisco, CA 94123-5410

Mailing address

3727 Buchanan St
Ste. 205
San Francisco, CA 94123-5410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080415000827 CA Practitioner - Physical Therapist in Private Practice 4880772961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor and Thornburg Physical Therapy, Inc.Group PAC ID 4789753880, 11 clinicians

Practice addresses (Care Compare)

3718 Grand Ave
Suite 15
Oakland, CA 94610-1544
Phone (510) 893-8878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25723CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor & Thornburg Physical Therapy, Inc. Physical Therapist CurrentSince Sep 1, 2013 Accepting new patients
Marin Sport and Spine Physical Therapy Physical Therapist Past Accepting new patients
San Francisco Sport & Spine Physical Therapy Physical Therapist PastSince Oct 1, 2011 Accepting new patients
Agile Physical Therapy Inc PastSince Feb 14, 2022 Accepting new patients

Locations

3718 Grand Ave
Ste 15
Oakland, CA 94610
Phone (510) 893-8878

Organizations & group practices 4

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": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1881874972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 BUCHANAN ST",
            "address_2": "STE. 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941235410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 BUCHANAN ST",
            "address_2": "STE. 205",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941235410",
            "telephone_number": "415-593-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HEATHER",
        "middle_name": "GINN",
        "credential": "PT, COMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.