MOLLY BRYAN DAVIS DPT
NPI 1043836133
Physical Therapist in Tupelo, MS

Active since June 24, 2020
154 MERRITT DR, TUPELO, MS 38801(785) 826-6134 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Molly Bryan Davis Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY BRYAN DAVIS DPT (NPI 1043836133) is an individual physical therapist in Tupelo, Mississippi, licensed in Mississippi (PT5376) and active in the NPI registry since June 2020. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1043836133
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMOLLY BRYAN DAVISCredential: DPT
Location Address154 MERRITT DRTupelo, MS 38801-9356
Mailing Address154 Merritt DrTupelo, MS 38801-9356 · (785) 826-6134
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 24, 2020
NPPES CertifiedJune 24, 2020
✔ NPI 1043836133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MS · PT5376
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
154 MERRITT DR, Tupelo, MS 38801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molly Bryan Davis Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577052547
PECOS Enrollment IDI20251029004572

Medicare Billing Reassignment

Medicare enrollment records show Molly Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
90 CLARK BLVD, A
Tupelo, MS 38804
  • Reassigned Medicare billing, Mississippi enrollment
  • 26 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molly Davis's NPI number?

The NPI number for Molly Davis is 1043836133. It was assigned to this individual provider in the NPPES registry on June 24, 2020.

Where is Molly Davis located?

Molly Davis practices at 154 Merritt Dr, Tupelo, MS 38801. The listed phone number is (785) 826-6134.

What is Molly Davis's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Molly Davis enrolled in Medicare?

Yes. Molly Davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Molly Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Molly Davis reassigns Medicare benefits to Tri-Vista Rehab, Inc (Tupelo, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Molly Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Molly Davis was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.