MR. ROGER A II DAVIS (PT, DPT) – Physical Therapist, NPI 1114941101

MR. ROGER A II DAVIS (PT, DPT) is a healthcare provider. based in Louisville, Kentucky. specializing in Physical Therapist. They hold the professional credentials PT, DPT. The NPI Number for MR. ROGER A II DAVIS (PT, DPT) is 1114941101

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROGER A II DAVIS (PT, DPT)
NPI
1114941101
Phone
(502) 245-1061
Address
13050 Magisterial Dr
Enumeration Date
26 July 2006
Last Update Date
14 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8593178086
Graduation Year
2005 (21 years ago)
PAC ID
9335365816
Group Practice PAC ID
0042577579
Professional Enrollment ID
I20140717002166
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for MR. ROGER A II DAVIS (PT, DPT)

  • 13050 Magisterial Dr

    Suite 100

    Louisville, KY 402235180

    Phone: (502) 245-1061

    Fax: (502) 245-1065

    Type: Location

  • 2420 LIME KILN LN STE C

    LOUISVILLE, KY 402223425

    Phone: (502) 630-3296

    Fax: (502) 630-3302

    Type: Location

  • 6397 LEE HWY STE 300

    CHATTANOOGA, TN 374214915

    Phone: (423) 238-8930

    Fax: (423) 254-5217

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140717002166IPhysical Therapist In Private PracticeKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes46223$0
97530Therapy procedure using functional activities23526$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes15522$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes10921$0
View full utilization report →

Insurance plans in this area (ZIP 40223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042577579View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeIN
-KY
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeTN
-AL
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

Can I verify MR. ROGER A II DAVIS (PT, DPT) with an NPI only?
You can start verification with NPI 1114941101 for MR. ROGER A II DAVIS (PT, DPT), then check state licensing separately.
Is MR. ROGER A II DAVIS (PT, DPT) still practicing?
MR. ROGER A II DAVIS (PT, DPT) is currently listed as active in the public NPI registry.
What taxonomy line describes MR. ROGER A II DAVIS (PT, DPT)?
For research purposes, treat MR. ROGER A II DAVIS (PT, DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MR. ROGER A II DAVIS (PT, DPT) serve?
MR. ROGER A II DAVIS (PT, DPT)'s listing highlights Louisville, Kentucky; more addresses can appear in NPPES.
Is the information about MR. ROGER A II DAVIS (PT, DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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