Jolly Dave

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1367751 Issued in TX

Practice address

3365 Regent Blvd Ste 130
Irving, TX 75063-3127

Phone

(469) 647-4833

NPI assigned

Jun 29, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1972280196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 AUDELIA RD APT 132",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434744",
            "telephone_number": "980-327-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 REGENT BLVD STE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633127",
            "telephone_number": "469-647-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "JOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1367751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darshna S. Chandrasekhara, MD, PA
• Kourosh Dashty, D.D.S.
• Dashwood Pharmacy
• Datahealth Medical Transport LLC
• Lori A Daugherty-Switzer, CRNP
• Judith A Davenport, CRNA
• Wade Quintin Davenport, RPH.
• David H. Smith, D.C, P.a.
• Cydel David, BCBA
• Shawntel David, RN

• Orthopedic Physical Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.