CARSON D DAVIES DPT
NPI 1922741552
Physical Therapist in Rockford, IL

Active since April 20, 2022
92.76/100
CMS Quality Rating
3616 N MAIN ST, ROCKFORD, IL 61103(815) 877-5932(815) 877-6302 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2022, Apr 20, 2022 (2 updates tracked since 2022).

About Carson D Davies Dpt NPPES

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

CARSON D DAVIES DPT (NPI 1922741552) is an individual physical therapist in Rockford, Illinois, licensed in Illinois (070027040) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1922741552
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameCARSON D DAVIESCredential: DPT
Location Address3616 N MAIN STRockford, IL 61103-2159
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-1980
Fax(815) 877-6302
Sole ProprietorNo
Enumeration DateApril 20, 2022
Last NPPES UpdateDecember 5, 20222 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1922741552 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 IL · 070027040
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.
3616 N MAIN ST, Rockford, IL 61103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carson D Davies Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Carson Davies reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
2122 YORK RD STE 300
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • 1,298 clinicians in this Medicare group
Physical Therapist
1050 FOUNTAIN LAKES DR
O Fallon, IL 62269
  • Reassigned Medicare billing, Illinois enrollment
  • 47 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.48
Improvement Activities40

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
3616 N MAIN ST
ROCKFORD, IL 61103
Physical Therapist
3616 N MAIN ST
ROCKFORD, IL 61103
Physical Therapist
3616 N MAIN ST
ROCKFORD, IL 61103
Physical Therapist
3616 N MAIN ST
ROCKFORD, IL 61103
Physical Therapy Assistant
3616 N MAIN ST
ROCKFORD, IL 61103
Physical Therapist
3616 N MAIN ST
ROCKFORD, IL 61103
Specialist/Technologist (Athletic Trainer)
3616 N MAIN ST
ROCKFORD, IL 61103
Physical Therapist
3616 N MAIN ST
ROCKFORD, IL 61103

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 Carson Davies's NPI number?

The NPI number for Carson Davies is 1922741552. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Carson Davies located?

Carson Davies practices at 3616 N Main St, Rockford, IL 61103. The listed phone number is (815) 877-5932.

What is Carson Davies's specialty?

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

Is Carson Davies enrolled in Medicare?

Yes. Carson Davies is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carson Davies's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carson Davies reassigns Medicare benefits to 2 organizations: Athletico Ltd (Oak Brook, IL) and Powerback Rehabilitation LLC (O Fallon, IL). Each 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 Carson Davies'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 Carson Davies was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.