Active NPIIndividual providerSole proprietor

Jonathan Davis

Physical Therapist in Wyckoff, New Jersey

NPI Number1740697531
Practice location
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Fax
—
Last updated
March 20, 2017

Jonathan Davis is a Physical Therapist based in Wyckoff, NJ. Jonathan Davis practices in Wyckoff, NJ. The NPI Number for Jonathan Davis is 1740697531 and holds a License No. 40QA00358400 (NJ). The current practice location address for Jonathan Davis is 301 Sicomac Ave, Wyckoff, NJ 07481-2159 and can be reached out via phone at 201-848-5200.

Provider Profile Details

NPI Number
1740697531
Provider Name
Jonathan Davis
Provider Entity Type
Individual
Gender
Male
Address
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Phone Number
201-848-5200
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
July 14, 2014
Last Update Date
March 20, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Sicomac Ave
Wyckoff, NJ 07481-2159
Zip
07481-2159
Phone Number
201-848-5200
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
301 Sicomac Ave
Wyckoff, NJ 07481-2159
City
Wyckoff
State
NJ
Zip
07481-2159

License Information

License Number
40QA00358400
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jonathan Davis?

The NPI number of Jonathan Davis is 1740697531. It was assigned on July 14, 2014 and is currently active in the NPPES registry.

What is the specialty of Jonathan Davis?

Jonathan Davis is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA00358400.

Where does Jonathan Davis practice?

The practice location is 301 Sicomac Ave, Wyckoff, NJ 07481-2159. The office can be reached at 201-848-5200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740697531 directly on the NPPES registry website.

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