Individual provider Active NPI

Richard Davis, P.T.

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1992829113
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1013647 Issued in TX
Practice address
1140 Westmont Dr
Suite 530
Houston, TX 77015-4363
Phone
(713) 451-1010
Fax
(713) 451-1433
NPI assigned
Mar 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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 1013647 TX Primary

Addresses

Primary practice location

1140 Westmont Dr
Suite 530
Houston, TX 77015-4363

Mailing address

2305 San Felipe St
Houston, TX 77019-3401
Phone (713) 790-1221

Other identifiers 1

IdentifierTypeStateIssuer
8T8130OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040612000489 TX Practitioner - Physical Therapist in Private Practice 3072596626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113647TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Federal Road Rehab & Diagnostic Inc Physical Therapist CurrentSince Aug 25, 2003 Accepting new patients
Perry Health & Rehabilitation PC Physical Therapist Past Accepting new patients
1140 Westmont Physical Therapy and Rehabilitation Services Past Accepting new patients

Locations

12655 Woodforest Blvd
Ste 100
Houston, TX 77015
Phone (713) 455-2535

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1992829113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 SAN FELIPE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770193401",
            "telephone_number": "713-790-1221",
            "fax_number": "713-520-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 WESTMONT DR",
            "address_2": "SUITE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770154363",
            "telephone_number": "713-451-1010",
            "fax_number": "713-451-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RICHARD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1013647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8T8130",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.