Jackie Lyn Davis, PT
Jackie Lyn Davis is a Physical Therapist provider (Physical Therapist) practicing in Olean, NY, registered in the NPPES registry with NPI 1063586964 since 2006. The credential PT stands for Physical Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063586964 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jackie Lyn Davis |
| Credential | PT |
| Sex | Female |
| Practice address | 2416 CONSTITUTION AVENUE, REHABILITATION TODAY, Olean, NY, 14760 |
| Phone | 7163722808 |
| Fax | 7163722902 |
| Enumeration date | 2006-11-20 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | 0218191 | NY |
| 225100000X | Physical Therapist | Secondary | PT014053L | PA |
PT — Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000626459001 | Other | NY | BCBS WNY |
| 6697122 | Other | NY | GHI |
| 00011264701 | Other | NY | UNIVECA |
Copy-ready billing details
Provider: Jackie Davis, PT NPI: 1063586964 Taxonomy: 225100000X (Physical Therapist) Address: 2416 CONSTITUTION AVENUE, REHABILITATION TODAY, Olean, NY, 14760
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1578673463 | Jesse Przybyla | Individual | Physical Therapist | Olean, NY |
| 1164532065 | Richard Elliott | Individual | Physical Therapist | Olean, NY |
| 1649380544 | Stephanie Richards | Individual | Physical Therapist | Olean, NY |
| 1750433512 | Timothy Mager | Individual | Occupational Therapist | Olean, NY |
| 1245358233 | Beth Scheffler | Individual | Physical Therapist | Olean, NY |
Verify this record
Cross-check NPI 1063586964 against the authoritative CMS record: view Jackie Lyn Davis on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.