MARY JO DAVENPORT (NPI# 1447503198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447503198 |
| Entity Type | Individual |
| Full Name | MARY JO DAVENPORT |
| Credential | PT, MS, PHD |
| Practice Address |
807 University Pkwy Box 70403 Johnson City TN 37614-1703 |
| Practice Telephone | 4234394071 |
| Practice Fax Number | 4234394060 |
| Mailing Telephone | 4234394071 |
| Mailing Fax Number | 4234394060 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT867 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | ST LIC | PT867 | 01 |
| Street Address |
807 UNIVERSITY PKWY BOX 70403 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37614-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811960644 | Kerry L. Holland | Psychologist | 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614-6500 | 2006-02-10 |
| 1700222585 | Mark David Linville Jr. | General Practice | 807 University Pkwy, Johnson City, TN 37614-6500 | 2013-05-20 |
| 1275877755 | Jessica Freshour | Pharmacist | 807 University Pkwy, Maple Avenue, Building 7, Suite 312, Johnson City, TN 37614-6500 | 2012-11-21 |
| 1811240567 | David A Arnall | Physical Therapist | 807 University Pkwy, Box 70403, Johnson City, TN 37614-1703 | 2012-10-18 |
| 1144573114 | Duane A. Williams | Physical Therapist | 807 University Pkwy, Box 70403, Johnson City, TN 37614-6500 | 2012-10-16 |
| 1356694301 | William Andrew Clark | Dietitian, Registered | 807 University Pkwy, Box 70403, Johnson City, TN 37614-6500 | 2012-10-16 |
| 1447506795 | Michelle Lanphere Lee | Dietitian, Registered | 807 University Pkwy, Box 70403, Johnson City, TN 37614-1703 | 2012-07-24 |
| 1194070946 | Jon R. Webb | Psychologist | 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614-6500 | 2012-07-18 |
| 1073872776 | Etsu Behavioral Health and Wellness Clinic | Community/Behavioral Health | 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614-6500 | 2012-05-15 |
| 1821365735 | Melisha Dawn Christian | Nurse Practitioner | 807 University Pkwy, Box 70267, Johnson City, TN 37614-6500 | 2011-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061887 | Jessica Marie Robinson | Pharmacist | Maple Avenue Building 7, Johnson City, TN 37614 | 2020-07-31 |
| 1881220697 | Rachel Miller Slough | Psychologist | 801 S Dossett Drive, Johnson City, TN 37614 | 2020-03-13 |
| 1326682493 | Yoshihiro Kojima | Specialist/Technologist | 127 W John Robert Bill Dr, Johnson City, TN 37614 | 2019-11-01 |
| 1205360104 | Charlotte Lynn Alexander | Student in an Organized Health Care Education/Training Program | Department of Obstetrics and Gynecology, 70569, Qcom Building 1, Room 307, Johnson City, TN 37614 | 2017-04-18 |
| 1679006787 | Joel Whipple | Student in an Organized Health Care Education/Training Program | Etsu - Building 1, 2nd Floor, Johnson City, TN 37614 | 2017-04-05 |
| 1497295711 | Charles Faust | Dental Hygienist | 1276 Gilbreath Dr, Johnson City, TN 37614 | 2017-03-06 |
| 1265889414 | Dyan Darang | Student in an Organized Health Care Education/Training Program | Etsu, Quillen College of Medicine, Psychiatry Residency Program, Box 70567, Johnson City, TN 37614 | 2016-05-18 |
| 1194170142 | Katharine Ann Lasher | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, Dogwood Ave, Building 1, Rm 249, East Tennessee State Univ. Quillen College of Medicine, Johnson City, TN 37614 | 2016-04-27 |
| 1992150189 | Nishika Shina Moradia | Student in an Organized Health Care Education/Training Program | East Tennessee State University Quillen College of Medi, Dogwood Ave, Building 1, Room 249, Johnson City, TN 37614 | 2016-04-26 |
| 1962884429 | Apurva Bansal | Student in an Organized Health Care Education/Training Program | 325 North State of Franklin, Johnson City, TN 37614 | 2015-06-22 |
| Find all providers in zip 37614 | ||||
| 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 |
|---|---|---|---|---|
| 1598378713 | Dan Nguyen | Physical Therapist | 935 Lake Dr, Johnson City, TN 37601-2138 | 2020-08-27 |
| 1174149520 | Ashton Grace Beckner | Physical Therapist | 3135 Peoples St Ste 404, Johnson City, TN 37604-4138 | 2020-06-22 |
| 1730700329 | Stacy Anne Millar | Physical Therapist | 102 Laurel Cyn, Johnson City, TN 37615-4489 | 2020-05-05 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1174174759 | Graham Physical Therapy, LLC | Physical Therapist | 813 Forest Ave, Johnson City, TN 37601-3319 | 2019-09-24 |
| 1386117059 | Michaela Lynn Williams | Physical Therapist | 405 Christian Church Rd Apt 42, Johnson City, TN 37615-4584 | 2019-01-06 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1720507403 | Molly Brown | Physical Therapist | 765 Harry L Dr Ste C, Johnson City, NY 13790-1013 | 2017-09-14 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37614 |
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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.