Amy Lanelle Davis, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1924 Issued in HI

Practice address

75-1029 Henry St
Suite 101
Kailua Kona, HI 96740-1666

Phone

(808) 334-0806

Fax

(808) 334-0483

NPI assigned

Apr 25, 2009

Sex

Female

Sole proprietor

No

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1240617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240617600000",
    "number": "1992949655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-1029 HENRY ST",
            "address_2": "SUITE 101",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401666",
            "telephone_number": "808-334-0806",
            "fax_number": "808-334-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-1029 HENRY ST",
            "address_2": "SUITE 101",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401666",
            "telephone_number": "808-334-0806",
            "fax_number": "808-334-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AMY",
        "middle_name": "LANELLE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-25",
        "last_updated": "2009-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolanda Lee Daniel, RPH
• Stephanie Grace Daniels, LMFT
• David K Hiranaka MD DMD Inc
• David Kwon Jr DDS
• Emily Elise David
• Amy Leah Davis, M.ED.
• Dana Davis, LMT
• Jennifer L. De Costa, PHD, MFT, CSAC
• Daniel Aaron Debiec, LPC
• Kevin Deeds, SAC

• Physical Therapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.