Randy Davis

Physical Therapy Assistant · Jupiter, FL

Individual Active NPI

NPI number 1740110345

Practice location

654 W Indiantown Rd
Jupiter, FL 33458-7546
Phone
(561) 745-1002

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NPI record

NPI
1740110345
Entity type
Individual (Type 1)
Enumeration date
May 23, 2026
Last updated
May 23, 2026
Certified
May 23, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X A011438 FL
Physical Therapy Assistant 225200000X A4441 MD

Mailing address

1040 Deer Ridge Dr Apt 510
Baltimore, MD 21210-2573
Phone
(561) 379-8919

About Randy Davis

Randy Davis is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 654 W Indiantown Rd, Jupiter, FL 33458-7546. The NPI number 1740110345 was assigned on May 23, 2026 and the record was last updated on May 23, 2026.

Randy Davis lists 2 licenses in the registry: #A011438 (FL) for Physical Therapy Assistant; #A4441 (MD) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Randy Davis?

The NPI number is 1740110345.

What is the phone number of Randy Davis?

The phone number listed for the practice location is (561) 745-1002.

Where is Randy Davis located?

654 W Indiantown Rd, Jupiter, FL 33458-7546.

What is the taxonomy code for Randy Davis?

The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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