MICHAELA DAVENPORT
NPI 1750193512
Physical Therapist in Agawam, MA
About Michaela Davenport NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAELA DAVENPORT (NPI 1750193512) is an individual physical therapist in Agawam, Massachusetts and active in the NPI registry since January 2025.
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michaela Davenport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Michaela Davenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Agawam, MA 01001
- Reassigned Medicare billing, Massachusetts enrollment
- 5 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Michaela Davenport's NPI number?
The NPI number for Michaela Davenport is 1750193512. It was assigned to this individual provider in the NPPES registry on January 20, 2025.
Where is Michaela Davenport located?
Michaela Davenport practices at 470 Shoemaker Ln, Agawam, MA 01001. The listed phone number is (413) 789-0752.
What is Michaela Davenport's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Michaela Davenport enrolled in Medicare?
Yes. Michaela Davenport is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Michaela Davenport's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Davenport reassigns Medicare benefits to Resilience Physical Therapy And Wellness, LLC (Agawam, MA). 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 Michaela Davenport'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 Michaela Davenport was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.