Active NPI
Joshua Blake Davis, PT, DPT, CSCS
- Physical Therapist
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12726
- Practice address
- 116 Jack White Dr Ste 10
Kingsport, TN 37664-2379 - Phone
- (423) 392-0469
- NPI assigned
- Feb 26, 2020
- Last updated
- Nov 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP001297T | NC | |
| Physical Therapist | 225100000X | 12726 | TN | Primary |
Addresses
Primary practice location
116 Jack White Dr Ste 10
Kingsport, TN 37664-2379
Mailing address
116 Jack White Dr Ste 10
Kingsport, TN 37664-2379
Phone (423) 392-0469
Other practice location 1
401 N Alf Coleman Rd
Panama City Beach, FL 32407-2567
Phone (850) 249-0707
Other practice location 2
419 E Main St
Jefferson, NC 28640
Phone (336) 846-7227
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 |
|---|---|---|---|
| CP001297T | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Star Strength X Rehab | Current | Accepting new patients | |
| Schuster Physical Therapy Inc. | Multi-Specialty | Current | Accepting new patients |
| Tennessee Nursing Services of Morristown, Inc. | Past | Accepting new patients | |
| Tennessee Nursing Services of Morristown, Inc. | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Kingsport, TN
- NPI 1568114833
-
- Physical Therapy Clinic/Center
- Jefferson, NC
- NPI 1710388772
Multi-Specialty
-
dba Beacon Home Health
- Home Health Agency
- Kingsport, TN
- NPI 1396717807
-
dba Beacon Hospice
- Community Based Hospice Care Agency
- New Tazewell, TN
- NPI 1851365233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1922632116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 JACK WHITE DR STE 10",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376642379",
"telephone_number": "423-392-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 JACK WHITE DR STE 10",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376642379",
"telephone_number": "423-392-0469"
}
],
"practiceLocations": [
{
"address_1": "401 N Alf Coleman Rd",
"address_purpose": "LOCATION",
"city": "Panama City Beach",
"state": "FL",
"postal_code": "324072567",
"country_code": "US",
"telephone_number": "850-249-0707",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "419 E Main St",
"address_purpose": "LOCATION",
"city": "Jefferson",
"state": "NC",
"postal_code": "28640",
"country_code": "US",
"telephone_number": "336-846-7227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "JOSHUA",
"middle_name": "BLAKE",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-26",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "CP001297T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "12726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.