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

Individual provider Physical Therapist · NPI 1588773352

Jerold E Davis, PT, OCS is a Physical Therapist in Private Practice in Tinley Park, Illinois. Qualified in 1989, 37 years ago. Practices with Rci (Wrs) LLC, a 330-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
37
Licensed in
IL
In the registry since
2006
Specialties on file
2
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

17517 80th Ave
Tinley Park, IL 60477-6501
Phone: (708) 429-4814
Fax: (708) 429-9174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 070006019 (IL)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1588773352
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , OCS
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESSeptember 19, 2019
Mailing address17517 80th Ave, Tinley Park, IL 60477-6501

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Rci (Wrs) Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tinley Park