Individual provider Active NPI

Joshua Blake Davis, PT, DPT, CSCS

  • Physical Therapist
  • Kingsport, TN
National Provider Identifier
1922632116
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12726 Issued in TN
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
CP001297TNCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Star Strength X Rehab Current Accepting new patients
Schuster Physical Therapy Inc. Multi-Specialty CurrentSince Mar 1, 2020 Accepting new patients
Tennessee Nursing Services of Morristown, Inc. PastSince Nov 28, 2021 Accepting new patients
Tennessee Nursing Services of Morristown, Inc. PastSince Nov 28, 2021 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.

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.

Verify at the official NPI Registry.