Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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David R Davis II, PT

Individual provider Physical Therapist · NPI 1720198708

David R Davis II, PT is a Physical Therapist in Private Practice in Lucedale, Mississippi. Qualified in 1994, 32 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
32
Licensed in
MS
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2210 Mill Street Ext # B
Lucedale, MS 39452-6064
Phone: (601) 947-9005
Fax: (601) 947-9007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT1583 (MS)

Record details

NPI number1720198708
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESMarch 31, 2009
Mailing addressPo Box 8419, Biloxi, MS 39535-8087

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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