Individual provider Active NPI

Kaitlyn Davis

  • Physical Therapist
  • Suffolk, VA
National Provider Identifier
1992689350
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305217281 Issued in VA
Practice address
7025 Harbour View Blvd Ste 108B
Suffolk, VA 23435-2764
Phone
(757) 974-8282
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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 2305217281 VA Primary

Addresses

Primary practice location

7025 Harbour View Blvd Ste 108B
Suffolk, VA 23435-2764

Mailing address

4532 Davids Mill Dr
Chesapeake, VA 23321-1270
Phone (757) 985-9975

Other practice location 1

1000 Knotts Pointe Ln Ste 103
Suffolk, VA 23435-1135
Phone (757) 530-4011

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

LicenseStateTypeSpecialty
2305217281VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 3, 2025 Accepting new patients
Fleming Therapy Services, LLC Physical Therapist PastSince Nov 9, 2025 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist PastSince Aug 3, 2025 Accepting new patients

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": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1992689350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 DAVIDS MILL DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233211270",
            "telephone_number": "757-985-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 HARBOUR VIEW BLVD STE 108B",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352764",
            "telephone_number": "757-974-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Knotts Pointe Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Suffolk",
            "state": "VA",
            "postal_code": "234351135",
            "country_code": "US",
            "telephone_number": "757-530-4011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.