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

Mrs. Tanisha Shanelle Davis, PTA, LMBT

Individual provider Physical Therapy Assistant · NPI 1497265839

Mrs. Tanisha Shanelle Davis, PTA, LMBT is a Physical Therapy Assistant in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

823 Elm St
Fayetteville, NC 28303-4172
Phone: (910) 929-4488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 22449 (NC)
Physical Therapy Assistant Taxonomy 225200000X · Licence A5872 (NC)

Record details

NPI number1497265839
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , LMBT
Sole proprietorNo
NPI enumeratedOctober 11, 2017
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

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