Active NPI
Robin Davis, PTA
- Physical Therapy Assistant
- Palm Desert, CA
National Provider Identifier
1922833284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA10062
- Practice address
- 42080 State St Ste a
Palm Desert, CA 92211-5173 - Phone
- (760) 568-2894
- Fax
- (760) 346-4179
- NPI assigned
- Sep 5, 2024
- Last updated
- Sep 5, 2024
- Sex
- Female
- 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 Therapy Assistant | 225200000X | PTA10062 | CA | Primary |
Addresses
Primary practice location
42080 State St Ste a
Palm Desert, CA 92211-5173
Mailing address
42080 State St Ste a
Palm Desert, CA 92211-5173
Phone (760) 568-2894
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 |
|---|---|---|---|
| PTA10062 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Physical Therapy Center Inc | Current | Accepting new patients |
Locations
42080 State St
#A
Palm Desert, CA 92211
Phone (760) 568-2894
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Palm Desert, CA
- NPI 1730260407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1922833284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42080 STATE ST STE A",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922115173",
"telephone_number": "760-568-2894",
"fax_number": "760-346-4179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42080 STATE ST STE A",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922115173",
"telephone_number": "760-568-2894",
"fax_number": "760-346-4179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ROBIN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "PTA10062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
- Dap Health, Inc. (DAP Health - College of the Desert Student Health Center)
- Darr Eye Clinic Medical Group, Inc.
- Sirnira Davis-Burke
- Heather Davis
- Paul William Davis, DC
- Paige Davison, M.A. CF-SLP
- Dawn M Terashita, PC (Passport Health)
- Sidney Deatherage
- Michelle Debacker, CNP
- Michael Alexander Degnan, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.