Active NPI 1578676276 Individual Practitioner Female Practitioner

Joan Ilene Davis , PT

Specialist • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Joan Davis, PT is a registered healthcare professional specializing in Specialist in Phoenix, AZ. Practice services are available at 4502 N CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4502 N Central Ave

Phoenix, AZ 850121817

Telephone 6024998357

Associated Practice Facility / Clinic

🏢 Phoenix Union High School District #210 Facility NPI 1679683791

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Phoenix, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 36.2 Yrs

State Avg: 35.9 Yrs

Regional Practice Density

196 Specialists

Practicing in Phoenix, AZ (826 Statewide)

Telehealth Adoption Rate

4.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AZ 389

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ahcccs Number

781270 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

Tess Grigsby

Speech-Language Pathologist

NPI 1093374829

Jamie Imhoff , LPN

Licensed Practical Nurse

NPI 1134301757

Licensed Practical Nurse

Orchid Lopez , RN

Registered Nurse - Administrator

NPI 1255858072

Registered Nurse

Carolyn Gooden-Spearman , LPN

Licensed Practical Nurse

NPI 1316248628

Licensed Practical Nurse

Joseph Meade , LMSW

Social Worker

NPI 1316361322

Licensed Master Social Worker

Camara Taylor , LCSW

Social Worker - Clinical

NPI 1326349531

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4502 N CENTRAL AVE, PHOENIX, AZ 850121817 (Tel: 6024998357)

📍

Updated Business Mailing Address July 08, 2007

Registered at 6128 N 12TH WAY, PHOENIX, AZ 850141726 (Tel: 6022121290)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JOAN DAVIS, PT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #389 in AZ)

🟢

Initial NPI Registration & Enumeration August 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578676276

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 16, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6128 N 12th Way

Phoenix, AZ 850141726

Phone: 6022121290

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.