IndividualActive
Shane Davis, MD
NPI 1295269736 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Boston, MA
Provider details
- NPI number
- 1295269736
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 292836 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
800 Washington St
Boston, MA 02111-1552
Phone: (617) 636-5631
Approximate (ZIP-level) locationGet directions
Mailing address
800 Washington St # 306
Boston, MA 02111-1552
Registry dates
- Enumerated
- 2017-04-11
- Last updated
- 2022-11-15
- Certified
- 2022-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.