Active NPI
Antone Llewellyn Davis II, DPTSC, PT
- Physical Therapist
- Santa Ana, CA
National Provider Identifier
1902837263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19242
- Practice address
- 1910 Old Tustin Ave
Santa Ana, CA 92705-7811 - Phone
- (714) 835-6638
- Fax
- (714) 835-4889
- NPI assigned
- Jul 5, 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 | PT19242 | CA | Primary |
Addresses
Primary practice location
1910 Old Tustin Ave
Santa Ana, CA 92705-7811
Mailing address
18791 Oak Ridge Dr
Santa Ana, CA 92705-2252
Phone (714) 832-8266
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 |
|---|---|---|---|
| PT19242 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis and Watson Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Santa Ana, CA
- NPI 1629015425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902837263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18791 OAK RIDGE DR",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927052252",
"telephone_number": "714-832-8266",
"fax_number": "714-835-4889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1910 OLD TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927057811",
"telephone_number": "714-835-6638",
"fax_number": "714-835-4889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ANTONE",
"middle_name": "LLEWELLYN",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "DPTSC, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT19242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.