TROY DAVIS (NPI# 1760535314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760535314 |
| Entity Type | Individual |
| Full Name | TROY DAVIS |
| Credential | RPT |
| Practice Address |
325 Main St El Segundo CA 90245-3814 |
| Mailing Address |
416 E Walnut Ave El Segundo CA 90245-2438 |
| Practice Telephone | 3106483167 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHYSICAL THERAPY LICENSE | PT25036 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790793685 | Troy A Davis | Dermatology | 1305 Fowler St, Suite 1c, Richland, WA 99352-4719 | 2006-08-04 |
| 1871565085 | Troy D Davis | Family Medicine | 413 N Chicago St, Litchfield, MI 49252-9792 | 2006-02-02 |
| 1386107472 | Troy Anthony Davis | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2019-04-07 |
| 1750848115 | Troy Davis | Behavior Technician | 6800 W Highway 98, Pensacola, FL 32506-8969 | 2019-02-21 |
| 1447707518 | Troy Davis | Physical Therapist | 1004 Health Center Dr, Mattoon, IL 61938-9253 | 2016-09-07 |
| 1003197559 | Troy L Davis | Pharmacist | 1229 N Eastern Ave, Moore, OK 73160-5860 | 2011-08-29 |
| 1871819797 | Troy Austin Davis | Pathology | 1220 Missouri Ave, Pathology Dept, Jeffersonville, IN 47130-3725 | 2010-04-16 |
| 1437321684 | Troy Davis | Social Worker | 1100 K Ave, La Grande, OR 97850-2131 | 2008-03-27 |
| 1467645614 | Troy Jevon Davis | Counselor | 1125 W 6th St Ste 103, Los Angeles, CA 90017-1896 | 2007-08-21 |
| 1639375504 | Troy Jean Davis | Internal Medicine | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2007-06-26 |
| Street Address |
325 MAIN ST |
| City | EL SEGUNDO |
| State | CA |
| Zip Code | 90245-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669239 | Miranda Jo Kerbawy | Physical Therapist | 325 Main St, El Segundo, CA 90245-3814 | 2018-02-19 |
| 1457850869 | Michael Overstreet | Physical Therapist | 325 Main St, El Segundo, CA 90245-3814 | 2018-02-12 |
| 1689067308 | Rachael Cappuccino | Physical Therapist | 325 Main St, El Segundo, CA 90245-3814 | 2015-03-05 |
| 1700137429 | Leonardo Miguel Valenzuela | Physical Therapist | 325 Main St, El Segundo, CA 90245-3814 | 2012-09-20 |
| 1063799898 | Lianne K Koo | Physical Therapist | 325 Main St, El Segundo, CA 90245 | 2011-11-08 |
| 1174840383 | Garret Wong | Physical Therapist | 325 Main St, El Segundo, CA 90245-3814 | 2010-04-27 |
| 1548400245 | Tami M Chang | Physical Therapist | 325 Main St, El Segundo, CA 90245-3814 | 2009-02-20 |
| 1003056797 | Christopher P Derosa | Physical Therapist | 325 Main St, El Segundo, CA 90245-3814 | 2009-02-20 |
| 1558414102 | Davis and Derosa Physical Therapy, Inc | Physical Therapist | 325 Main St, El Segundo, CA 90245-3814 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058976 | Britt'nee Cornelius | Massage Therapist | 222 North PCh, Suite 2000, El Segundo, CA 90245 | 2020-09-18 |
| 1750913778 | Laurie Ann Scoppetto | Dietitian, Registered | 482 N Aviation Blvd, El Segundo, CA 90245 | 2020-02-07 |
| 1972135283 | A Dabrowska Dds, Inc | Dentist | 390 N. Pacific Coast Hwy #1050, El Segundo, CA 90245 | 2020-02-05 |
| 1578023057 | Miles Bertumen | Pharmacist | 283 N Aviation Blvd, Building 210, El Segundo, CA 90245 | 2019-03-21 |
| 1831673201 | Kriss L. Killam | Marriage & Family Therapist | 302 W. Grand Ave., Suite 9, El Segundo, CA 90245 | 2018-09-20 |
| 1811487911 | Bright Light Recovery | Substance Abuse Rehabilitation Facility | 218 Concord St, Suite C, El Segundo, CA 90245 | 2018-05-14 |
| 1265950448 | Sarah Yuriko Mizuki | Physician Assistant | 390 N PCh, Suite 1000, El Segundo, CA 90245 | 2017-09-07 |
| 1326586462 | Jlp Interpreting Services | Interpreter | 963 Virginia St #5, El Segundo, CA 90245 | 2017-02-09 |
| 1619351707 | El Segundo Dermatology, Inc. | Specialist | 713 N Douglas St., El Segundo, CA 90245 | 2015-07-17 |
| 1083956635 | 24hr Homecare, LLC | Home Health | 200 N. Pacific Coast Highway, Suite 300, El Segundo, CA 90245 | 2013-03-21 |
| Find all providers in zip 90245 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669085403 | Mana Mobile Physical Therapy, P.C. | Physical Therapist | 950 Virginia St Apt 102, El Segundo, CA 90245-2170 | 2020-08-30 |
| 1851806004 | Jonathan T Chong | Physical Therapist | 2200 E Maple Ave, El Segundo, CA 90245-6507 | 2017-12-11 |
| 1992216691 | Matthew Scott Ball | Physical Therapist | 1732 E Sycamore Ave Apt B, El Segundo, CA 90245-3335 | 2017-10-20 |
| 1932573698 | Leslie Tobias | Physical Therapist | 2218 E Maple Ave, El Segundo, CA 90245-6507 | 2015-11-18 |
| 1003242462 | Ashley Smith | Physical Therapist | 390 N Pacific Coast Hwy Ste 1000, El Segundo, CA 90245-4401 | 2013-09-17 |
| 1710252739 | Patty Brown Physical Therapy & Assoc PC | Physical Therapist | 880 Apollo St Ste 160, El Segundo, CA 90245-4785 | 2012-03-09 |
| 1104056837 | Kellee Lynn Hanigan | Physical Therapist | 615 N. Nash Street, Suite 306, El Segundo, CA 90245 | 2009-07-15 |
| 1245458033 | Nicola Natsumi Nakase | Physical Therapist | 130 E Grand Ave, F, El Segundo, CA 90245-3831 | 2007-04-24 |
| 1417071788 | Sandesha Singh | Physical Therapist | 2020 E Imperial Hwy # Mcw-s25, El Segundo, CA 90245-3507 | 2007-03-19 |
| 1851302004 | Danel Lombard | Physical Therapist | 615 N Nash St Ste 306, El Segundo, CA 90245-2850 | 2006-08-11 |
| Find all providers in EL SEGUNDO | ||||
| City | EL SEGUNDO |
| Zip Code | 90245 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.