Individual provider Active NPI

Megan Davis, DPT, PT

  • Physical Therapist
  • Elk Grove, CA
National Provider Identifier
1982169637
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
296227 Issued in CA
Practice address
9634 Elk Grove Florin Rd
Elk Grove, CA 95624-2226
Phone
(916) 685-8448
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 296227 CA Primary

Addresses

Primary practice location

9634 Elk Grove Florin Rd
Elk Grove, CA 95624-2226

Mailing address

9634 Elk Grove Florin Rd
Elk Grove, CA 95624-2226

Other practice location 1

7230 S Land Park Dr Ste 105
Sacramento, CA 95831-3657
Phone (916) 393-0497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228001192 CA Practitioner - Physical Therapist in Private Practice 3173973419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Dynamic Physical Therapy Inc. Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Vibrantcare Outpatient Rehabilitation of California Inc PastSince May 28, 2023 Accepting new patients
Vibrantcare Outpatient Rehabilitation of California Inc PastSince May 28, 2023 Accepting new patients

Locations

6955 Douglas Blvd
Granite Bay, CA 95746
Phone (916) 318-6964

6910 Douglas Blvd
Ste D
Granite Bay, CA 95746
Phone (916) 318-6964

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1982169637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9634 ELK GROVE FLORIN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9634 ELK GROVE FLORIN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242226",
            "telephone_number": "916-685-8448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7230 S Land Park Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958313657",
            "country_code": "US",
            "telephone_number": "916-393-0497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MEGAN",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.