Healthcare Provider Details

I. General information

NPI: 1831937390
Provider Name (Legal Business Name): JONI DAVIS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2024
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 N DRUID HILLS RD NE
ATLANTA GA
30329-3117
US

IV. Provider business mailing address

2214 BONNAVIT CT NE
ATLANTA GA
30345-4129
US

V. Phone/Fax

Practice location:
  • Phone: 678-644-3905
  • Fax:
Mailing address:
  • Phone: 678-644-3905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberPT017210
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: