MEDICARE: DAVYONEDA MCDANIEL MACKEY LPTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	853	NC

General Provider Information

NPI Number	:	1144541053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVYONEDA MCDANIEL MACKEY LPTA

Provider Business Mailing Address
First Line	:	3024 MARLOWE AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28208-4928
Country	:	US
Telephone Number	:	704-497-2094
Fax Number	:

Provider Business Practice Location Address
First Line	:	6001 WILORA LAKE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28212-2833
Country	:	US
Telephone Number	:	704-563-2922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2010
Last Update Date	:	01/15/2012

Similar Medicare Providers

1215979059 — WILORA LAKE HEALTHCARE LLC
Practice Location Address:

6001 WILORA LAKE RD
CHARLOTTE, NC
28212-2833

Practice Phone: 704-563-2922
Practice Fax: 704-563-2814

1255459111 — BROOKE K THOMANN P.T.
Practice Location Address:

6053 WILORA LAKE RD
CHARLOTTE, NC
28212-2833

Practice Phone: 704-537-8848
Practice Fax:

1629280961 — ARC WILORA ASSISTED LIVING LLC
Practice Location Address:

6053 WILORA LAKE RD
CHARLOTTE, NC
28212-2833

Practice Phone: 704-537-8848
Practice Fax: 704-537-0118

1417228982 — MRS. DEANNA MARIE SCHILL OTR
Practice Location Address:

6001 WILORA LAKE RD
CHARLOTTE, NC
28212-2833

Practice Phone: 704-563-2922
Practice Fax:

1548531056 — MRS. DANITA CAVINESS EVERHART MSCCC-SLP
Practice Location Address:

6001 WILORA LAKE RD
CHARLOTTE, NC
28212-2833

Practice Phone: 704-563-2922
Practice Fax: 704-563-2814

1578834909 — EMILY STAMPS
Practice Location Address:

6001 WILORA LAKE RD
CHARLOTTE, NC
28212-2833

Practice Phone: 704-563-2922
Practice Fax:

Directions to “ DAVYONEDA MCDANIEL MACKEY LPTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.