DANIEL DAVIDSON – Physical Therapist, NPI 1144101197

DANIEL DAVIDSON is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 9171776 (ID). The NPI Number for DANIEL DAVIDSON is 1144101197

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
DANIEL DAVIDSON
NPI
1144101197
Phone
(726) 202-3039
Address
1650 LYNDON FARM CT STE 300
Enumeration Date
8 September 2025
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083655341
Graduation Year
2025 (1 year ago)
PAC ID
2163927674
Group Practice PAC ID
7012977168
Professional Enrollment ID
I20250925002505
Address ID
ID836173528EM809XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

834 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID

Provider Addresses for DANIEL DAVIDSON

  • 1650 LYNDON FARM CT STE 300

    LOUISVILLE, KY 402235005

    Phone: (726) 202-3039

    Type: Mailing

  • 809 S WASHINGTON AVE

    EMMETT, ID 836173528

    Phone: (208) 365-5341

    Type: Location

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: 2025-09-25

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
I20250925002505IPhysical Therapist In Private PracticeIDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 7012977168View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
-ID
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeUT
-WA
Physical Therapist In Private PracticeWA
-ID
Physical Therapist In Private PracticeID

Reviews

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Frequently asked questions

How do payers reference DANIEL DAVIDSON?
For DANIEL DAVIDSON, use NPI 1144101197 as the unique 10-digit identifier.
Active or inactive — what applies to DANIEL DAVIDSON?
You should see DANIEL DAVIDSON as active in CMS-hosted NPPES data.
How would a patient describe DANIEL DAVIDSON's focus?
For DANIEL DAVIDSON, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DANIEL DAVIDSON?
Travel planning: use Louisville, Kentucky as the reference point for DANIEL DAVIDSON, then confirm.
When was this NPI issued?
Enumeration for DANIEL DAVIDSON is noted as September 8, 2025 where the registry provides it.

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