Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Davis D Tarkenton

Individual provider Physical Therapist · NPI 1700648417

Davis D Tarkenton is a Physical Therapist in Private Practice in North Chesterfield, Virginia. Qualified in 2023, 3 years ago. Practices with Ivyrehab Sept, LLC, a 215-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Virginia.

Years since qualifying
3
Licensed in
GA, VA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2610 Buford Rd
North Chesterfield, VA 23235-3422
Phone: (804) 923-3933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6055 Highway 124 W Ste 110, Hoschton, GA 30548-5534 — (706) 654-2000

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305216252 (VA)
Physical Therapist Taxonomy 225100000X · Licence CP052206T (GA)

Record details

NPI number1700648417
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 29, 2024
Last updated in NPPESFebruary 5, 2026
Certification dateFebruary 5, 2026
Mailing addressPo Box 412307, Boston, MA 02241-2307

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ivyrehab Sept, Llc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in North Chesterfield