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

Randy Davis

Individual provider Physical Therapy Assistant · NPI 1740110345

Randy Davis is a Physical Therapy Assistant in Jupiter, Florida. Practices as a sole proprietor. Licensed in Florida and Maryland.

Licensed in
FL, MD
In the registry since
2026
Specialties on file
2

Practice location Address checks out

654 W Indiantown Rd
Jupiter, FL 33458-7546
Phone: (561) 745-1002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A011438 (FL)
Physical Therapy Assistant Taxonomy 225200000X · Licence A4441 (MD)

Record details

NPI number1740110345
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 23, 2026
Last updated in NPPESMay 23, 2026
Certification dateMay 23, 2026
Mailing address1040 Deer Ridge Dr Apt 510, Baltimore, MD 21210-2573

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