MARY MELINDA DAVENPORT (NPI# 1639543804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639543804 |
| Entity Type | Individual |
| Full Name | MARY MELINDA DAVENPORT |
| Credential | PT |
| Practice Address |
4424 Rogers Rd Monroe NC 28110-7354 |
| Practice Telephone | 9803285120 |
| Mailing Telephone | 9803285120 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
15010 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962855692 | Mary Davenport | Licensed Practical Nurse | 37520 Harper Ave Apt 107, Clinton Twp, MI 48036-3077 | 2016-07-18 |
| 1962617712 | Mary G Davenport | Marriage & Family Therapist | 1608 Oak St, Sarasota, FL 34236-7517 | 2007-05-14 |
| 1588765721 | Mary L Davenport | Obstetrics & Gynecology | 4440 San Pablo Dam Rd, El Sobrante, CA 94803-3052 | 2006-09-26 |
| 1598268963 | Mary J Davenport | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-03-13 |
| 1831460351 | Mary Davenport | Case Manager/Care Coordinator | 9 N Water St Ste 104, Sapulpa, OK 74066-2820 | 2012-01-13 |
| 1861791626 | Mary Angela Davenport | Marriage & Family Therapist | 105 Music Village Blvd, Hendersonville, TN 37075-2714 | 2011-03-19 |
| 1265559009 | Mary Gwen Davenport Ix | Technician, Other | Comdt Cg-1122 Us Coast Guard, 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0001 | 2007-03-26 |
| 1114068582 | Mary Rae Davenport | Nurse Practitioner | 2748 Crossroads Blvd, Grand Junction, CO 81506-3933 | 2007-02-09 |
| 1831261551 | Mary Wofford Davenport | Registered Nurse | 3155 Royal Drive, Suite 125, Alpharetta, GA 30022 | 2006-11-15 |
| 1922048586 | Mary Davenport | Nurse Practitioner | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2006-06-08 |
| Street Address |
4424 ROGERS RD |
| City | MONROE |
| State | NC |
| Zip Code | 28110-7354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475674 | Gretchen Stein | Physical Therapist | 17792 147th St Se # 1030, Monroe, WA 98272-1030 | 2020-07-24 |
| 1316353592 | Blake William Brown | Physical Therapist | 312 Grammont St Ste 302, Monroe, LA 71201-7403 | 2014-07-08 |
| 1326264805 | Jose Paragas | Physical Therapist | 1271 Lamy Ln, Suite B, Monroe, LA 71201-3755 | 2007-04-17 |
| 1407022064 | Racine E Johnson | Physical Therapist | 701 E Roosevelt Blvd, Suite 600, Monroe, NC 28112-5170 | 2008-05-05 |
| 1568679587 | Leslie Nilsen | Physical Therapist | 517 Great Oaks Dr, Suite 102, Monroe, GA 30655-8211 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003438292 | Letizia B Migliaccio | Physical Therapist | 3726 Battleground Ave # B, Greensboro, NC 27410-2344 | 2020-05-11 |
| 1396371787 | Teresa Blake Robertson Elder | Physical Therapist | 120 Grandview Ave, Brevard, NC 28712-4727 | 2020-03-17 |
| 1821650367 | Peak Pelvic Health Physical Therapy, LLC | Physical Therapist | 160 Macgregor Pines Dr Ste 101, Cary, NC 27511-6037 | 2019-07-05 |
| 1679132690 | Demario Sharrod Lewis | Physical Therapist | 200 W Woodcroft Pkwy Apt 62b, Durham, NC 27713-8086 | 2019-06-12 |
| 1679032866 | David James Lawton | Physical Therapist | 101 E W T Harris Blvd Ste 5001, Charlotte, NC 28262-3574 | 2019-03-18 |
| 1497211643 | Mackenzie Gilliss | Physical Therapist | 703 N Us 29 Hwy, China Grove, NC 28023-2617 | 2019-02-13 |
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1730658253 | Smart Athlete Physiotherapy, LLC | Physical Therapist | 1017 E Whitaker Mill Rd, Raleigh, NC 27608-2757 | 2018-11-14 |
| 1366927659 | Judy Larose Foxworth | Physical Therapist | 601 S Mlk Jr Drive F L Atkins Bldg Rm 333, Winston Salem, NC 27110-0001 | 2018-10-02 |
| 1063905065 | Gabriela Perez | Physical Therapist | 5920 Sandy Forks Rd, Raleigh, NC 27609-3814 | 2018-06-13 |
| Find all providers with the same taxonomy | ||||
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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.