Keri J Davis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34877 Issued in FL

Practice address

35095 US 19 N Ste 101
Palm Harbor, FL 34684-1968

Phone

(727) 475-5538

Fax

(844) 213-8986

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Optimal Performance and Physical Therapies St. Petersburg, LLC

  • Physical Therapist
  • St Petersburg, FL
  • NPI 1073085734
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1952956153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21756 SR 54",
            "address_2": "102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35095 US 19 N STE 101",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841968",
            "telephone_number": "727-475-5538",
            "fax_number": "844-213-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KERI",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT34877",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimber Davidson
• Aaron Davis, MD
• Cynthia Kostakis Davis, M.A.
• Destiny Davis
• Jamal Davis
• Latief S. Davis, M.S., CCC-SLP
• Maggie Novy Davis, D.M.D.
• Megan Christine Davis, OTR/L
• Aida Davoodi Kermani
• Sheila G. Dean, DSC,RD,LD, CCN,CDE

• Physical Therapist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.