MEDICARE: VICTORIA DAVIS

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	225100000X	Physical Therapist		TX
2	225100000X	Physical Therapist		FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154088912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA DAVIS

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4617 W BAILEY BOSWELL RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76179-4327
Country	:	US
Telephone Number	:	682-350-4206
Fax Number	:

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

Provider Enumeration Date	:	11/29/2021
Last Update Date	:	09/08/2025

Similar Medicare Providers

1700226651 — JIMMY U. NGUYEN DDS
Practice Location Address:

4605 W BAILEY BOSWELL RD STE 140
FORT WORTH, TX
76179-4327

Practice Phone: 682-250-2080
Practice Fax:

1588220479 — JUN FAMILY DENTISTRY
Practice Location Address:

4605 W BAILEY BOSWELL RD STE 140
FORT WORTH, TX
76179-4327

Practice Phone: 682-250-2080
Practice Fax:

1689300816 — FABIANA BASTOS VILLARI DPT
Practice Location Address:

4617 W BAILEY BOSWELL RD
FORT WORTH, TX
76179-4327

Practice Phone: 682-350-4206
Practice Fax: 254-249-1594

1215820188 — TIESHA SHAKEMA' FENWICK
Practice Location Address:

4617 W BAILEY BOSWELL RD
FORT WORTH, TX
76179-4327

Practice Phone: 682-350-4206
Practice Fax:

1538118443 — FROOD EELANI, D.O PA
Practice Location Address:

1315 6TH AVE
FORT WORTH, TX
76104-4327

Practice Phone: 817-921-3626
Practice Fax: 817-921-0391

1417977703 — FROOD EELANI DO
Practice Location Address:

1315 6TH AVE
FORT WORTH, TX
76104-4327

Practice Phone: 817-921-3626
Practice Fax: 817-921-0391

Directions to “ VICTORIA DAVIS ” 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 © 2007-2025 (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.