Sandra Davila

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20263 Issued in FL

Practice address

121 NE Tunison Ave
Port St Lucie, FL 34983-1732

Phone

(772) 834-5167

NPI assigned

Jul 1, 2006

Sex

Female

Sole proprietor

Yes

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Loma Linda University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sobe Innovative Rehabilitation PLLCGroup PAC ID 4789994336, 178 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595
  Medicare reassignment Care Compare group
• Angel Hands Physical Therapy PLLC

  • Home Health Agency
  • Port Saint Lucie, FL
  • NPI 1962723601
  NPD Authorized official

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411862400000",
    "number": "1902835291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NE TUNISON AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831732",
            "telephone_number": "772-834-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NE TUNISON AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349831732",
            "telephone_number": "772-834-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "SANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2014-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R Matos Occupational Therapy Services LLC
• David Torres, M.D., P.a.
• Jerel C David, MD
• Deborah Gail Davidson, LCSW
• Tricia Shereen Davidson, COTA/L
• Lois E Davis-Leath, RPH
• Chantenette Lashay Davis
• Cindy R Davis
• Daniella Davis, PHARM D
• Dyanne Joyce Davis

• Physical Therapist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2014; 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.