JORDAN DAVIS (NPI# 1114378809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114378809 |
| Entity Type | Individual |
| Full Name | JORDAN DAVIS |
| Credential | DPT |
| Practice Address |
12360 Manchester Rd Des Peres MO 63131-4312 |
| Practice Telephone | 3149668855 |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2016-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 2305210258 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | 2016021914 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245864396 | Jordan Nichole Davis | Nurse Practitioner | 7035 Pickwell Dr Apt 2100, San Antonio, TX 78223-3385 | 2020-02-27 |
| 1043728223 | Jordan Elizabeth Davis | Occupational Therapist | 4500 Orchard Pl, Gasport, NY 14067-9208 | 2018-01-22 |
| 1831649532 | Jordan Katherine Davis | Case Manager/Care Coordinator | 1005 3rd St, Bay City, MI 48708-6012 | 2016-10-06 |
| 1407134935 | Jordan Clark Davis | Pharmacist | 1223 Cibecue Cir, San Carlos, AZ 85550-0208 | 2011-08-02 |
| 1033726948 | Jordan Alliah Davis | Physical Therapist | 3007 Panola Rd Ste C, Lithonia, GA 30038-2492 | 2020-09-24 |
| 1174137947 | Jordan Lian Davis | Pharmacist | 35 25th St Nw, Cleveland, TN 37311-3830 | 2020-08-31 |
| 1588286496 | Jordan Paige Davis | Psychologist | 1 Park Ave Fl 7, New York, NY 10016-5818 | 2020-05-13 |
| 1265088371 | Jordan Davis | Specialist/Technologist | 225 N 7th St, Bismarck, ND 58501-4417 | 2019-08-14 |
| 1821640087 | Jordan Davis | Counselor | 357 Kansas Ave Se, Huron, SD 57350-2517 | 2019-07-09 |
| 1588225262 | Jordan Davis | Pharmacist | 3250 S Eagle Rd, Meridian, ID 83642-7018 | 2019-06-24 |
| Street Address |
12360 MANCHESTER RD |
| City | DES PERES |
| State | MO |
| Zip Code | 63131-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952620700 | Mts-des Peres, LLC | Physical Therapist | 12360 Manchester Rd, Suite 150, Des Peres, MO 63131-4312 | 2010-05-19 |
| 1942531215 | Cvpt-des Peres, LLC | Physical Therapist | 12360 Manchester Rd, Suite 150, Des Peres, MO 63131-4312 | 2010-01-26 |
| 1669703930 | Mts-des Peres, LLC | Physical Therapist | 12360 Manchester Rd, Suite 150, Des Peres, MO 63131-4312 | 2010-01-26 |
| 1942368105 | Kevin J Fete | Optometrist | 12360 Manchester Rd, Ste 200, Des Peres, MO 63131-4312 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| 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 |
|---|---|---|---|---|
| 1841466752 | Mark Olmsted | Physical Therapist | 11937 Manchester Rd, Des Peres, MO 63131-4502 | 2008-05-01 |
| 1518184845 | Cynthia Jane Krueger | Physical Therapist | 1000 Des Peres Rd Ste 130, Des Peres, MO 63131-2050 | 2007-04-19 |
| 1841390960 | Preferred Pt Des Peres LLC | Physical Therapist | 1032 Old Des Peres Rd, Des Peres, MO 63131-1865 | 2006-09-25 |
| 1467451369 | Deborah Lavender | Physical Therapist | 1133 Colonnade Ctr, Des Peres, MO 63131-4328 | 2005-07-21 |
| 1740683788 | Kathryn Elizabeth Cross | Physical Therapist | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2014-10-06 |
| 1366855819 | Jessica Otte | Physical Therapist | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2014-06-03 |
| 1497167522 | Andrew Bertrand | Physical Therapist | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2014-05-23 |
| 1700298940 | Jennifer Scharf | Physical Therapist | 13230 Manchester Rd, Des Peres, MO 63131-1706 | 2014-05-22 |
| 1598066458 | Gillian Christine Pritchard | Physical Therapist | 1133 Colonnade Ctr, Des Peres, MO 63131-4328 | 2010-11-09 |
| 1952620700 | Mts-des Peres, LLC | Physical Therapist | 12360 Manchester Rd, Suite 150, Des Peres, MO 63131-4312 | 2010-05-19 |
| Find all providers in DES PERES | ||||
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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.