Kevin T Davi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11037 Issued in AZ

Practice address

2222 Pico Blvd Unit 102
Santa Monica, CA 90405-1776

Phone

(800) 507-2634

Fax

(310) 774-3652

NPI assigned

Aug 19, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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 and National Provider Directory roles.

• Family Health Physical Therapy PC

  • Physical Therapist
  • Santa Monica, CA
  • NPI 1568004984
  NPD Authorized official
• Foothills Sports Medicine & Rehabilitation, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1558318170
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1972902617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3524",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904083524",
            "telephone_number": "800-507-2634",
            "fax_number": "310-774-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 PICO BLVD UNIT 102",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051776",
            "telephone_number": "800-507-2634",
            "fax_number": "310-774-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVI",
        "first_name": "KEVIN",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11037",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian R Dator, FNP-C
• Brettney Daugherty, N.P., D.N.P.
• Crystal Daulton
• Ravi Harshad Dave, MD
• Judy Davenport, PH.D
• David a Sack MD a Professional Medical Corporation
• David Cassius, MD PS
• David Ghozland, MD, Inc
• David Kudrow MD
• David L. Fogelson, M.D., Inc.

• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.