DAVENPORT & ASSOCIATES PHYSICAL THERAPY (NPI# 1629000799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629000799 |
| Entity Type | Organization |
| Organization Name | DAVENPORT & ASSOCIATES PHYSICAL THERAPY |
| Practice Address |
882 S. Grove Rd. Upper Suite Ypsilanti MI 48198 |
| Mailing Address |
Lake Pointe Center 882 S. Grove Rd. (upper Suite) Ypsilanti MI 48198 |
| Practice Telephone | 7344831625 |
| Mailing Telephone | 7344831625 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-08-18 |
| Authorized Official Name | MS. ALMA MARIE DAVENPORT (PHYSICAL THERAPIST/CEO) |
| Authorized Official Telephone | 7344831625 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 5501009797 | MI | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 650H114050 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DAVENPORT & ASSOCIATES PHYSICAL THERAPY | 3810 Packard St Ste 100a, Ann Arbor, MI 48108-2054 |
| Street Address |
882 S. GROVE RD. UPPER SUITE |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840602 | Paxxon Healthcare Services LLC | Occupational Therapist | 8100 Geddes Road, Superior Township, MI 48198 | 2019-06-13 |
| 1053885137 | Justine Altman | Health Educator | 9855 High Meadow Dr., Ypsilanti, MI 48198 | 2019-01-11 |
| 1730650516 | Mark Neumann | Driver | 1233 Hull Ave, Ypsilanti, MI 48198 | 2018-12-05 |
| 1144703810 | Douglas John Pealer | Speech-Language Pathologist | 8100 Geddes Rd, Superior Charter Township, MI 48198 | 2018-09-10 |
| 1225520919 | Kathleen M Hartwell-king Iv | Nurse Practitioner | 315 Holmes Rd, Ypsilanti, MI 48198 | 2018-05-30 |
| 1205354339 | Kawana Young | Home Health | 1811 George Ave, Ypsilanti, MI 48198 | 2017-09-09 |
| 1477009173 | Brittney Thomas | Technician, Other | 1431 Leforge Rd Apt 301, Ypsilant, MI 48198 | 2016-09-01 |
| 1528461167 | Emily Purdey | Social Worker | 8604 Pine Ct, Ypsilanti, MI 48198 | 2014-09-26 |
| 1063812550 | Harry Lee Hampton Jr. | Driver | 868 Allen St, Ypsilanti, MI 48198 | 2014-09-03 |
| 1073932760 | Ed Mcswain | Counselor | 6633 Stoney Creek Rd, Ypsilanti, MI 48198 | 2014-04-10 |
| Find all providers in zip 48198 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023047883 | My Home Doctor,p.c. | Residential Treatment Facility, Physical Disabilities | 317 Ecorse Rd, Suite # 14, Ypsilanti, MI 48198-5787 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083173017 | Newport Care Center | Residential Treatment Facility, Physical Disabilities | 22977 Newport St, Southfield, MI 48075-5850 | 2019-03-19 |
| 1104352285 | Tukeisha Snedecar | Residential Treatment Facility, Physical Disabilities | 19210 Conley St, Detroit, MI 48234-2276 | 2017-05-10 |
| 1760925556 | Connect Care Network Inc. | Residential Treatment Facility, Physical Disabilities | 19761 Annott St, Detroit, MI 48205-1603 | 2016-11-28 |
| 1750832564 | First Door, LLC | Residential Treatment Facility, Physical Disabilities | 25584 W 10 Mile Rd, Southfield, MI 48033-4826 | 2016-10-17 |
| 1306390737 | Nikeyla Blakeney | Residential Treatment Facility, Physical Disabilities | 15384 Freeland St, Detroit, MI 48227-2911 | 2016-08-15 |
| 1558815068 | Charlie Hudson | Residential Treatment Facility, Physical Disabilities | 15831 Woodworth, Redford, MI 48239-3970 | 2016-08-12 |
| 1801249222 | Cm Org | Residential Treatment Facility, Physical Disabilities | 7621 Parkland, Detroit, MI 48239-1031 | 2016-07-20 |
| 1548635618 | Milad Jabow | Residential Treatment Facility, Physical Disabilities | 5126 Allison Dr, Troy, MI 48085-3468 | 2015-12-01 |
| 1831568500 | Expert Enterprises | Residential Treatment Facility, Physical Disabilities | 18453 Woodingham Dr Uppr, Detroit, MI 48221-2155 | 2015-09-23 |
| 1396113767 | Ltss Inc | Residential Treatment Facility, Physical Disabilities | 3801 S 39 Rd, Cadillac, MI 49601-9126 | 2015-09-02 |
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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.