Individual provider Active NPI

Christopher B Davis, DPT

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1902866338
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04986 Issued in LA
Practice address
1206 E Broussard Rd Ste 100
Lafayette, LA 70508-7835
Phone
(337) 450-9111
Fax
(337) 484-3164
NPI assigned
Mar 28, 2006
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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 04986 LA Primary

Addresses

Primary practice location

1206 E Broussard Rd Ste 100
Lafayette, LA 70508-7835

Mailing address

1206 E Broussard Rd Ste 100
Lafayette, LA 70508-7835
Phone (337) 450-9111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000099 LA Practitioner - Physical Therapist in Private Practice 0244248920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher Davis Physical Therapy Services IncGroup PAC ID 1658811021, 2 clinicians

Practice addresses (Care Compare)

1206 E Broussard Rd
Suite 102
Lafayette, LA 70508-8371
Phone (337) 450-9111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Davis Physical Therapy Services Inc Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Laborde Hand and Occupational Therapy Center Past Accepting new patients
Orthopedic & Sports Physical Therapy Clinic of Lafayette Inc Physical Therapist PastSince Jun 27, 2022 Accepting new patients
Acadiana Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Laborde Therapy Center LLC Physical Therapist PastSince Sep 21, 2000 Accepting new patients
Tri City Physical Therapy, Inc. Physical Therapist PastSince Aug 10, 2020 Accepting new patients

Locations

1206 E Broussard Rd
Ste 100
Lafayette, LA 70508
Phone (337) 450-9111

1206 E Broussard Rd
Ste 102
Lafayette, LA 70508
Phone (337) 450-9111

Organizations & group practices 6

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1902866338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E BROUSSARD RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087835",
            "telephone_number": "337-450-9111",
            "fax_number": "337-484-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 E BROUSSARD RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087835",
            "telephone_number": "337-450-9111",
            "fax_number": "337-484-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.