Individual provider Active NPI

Denise Marie Padilla-Davidson, PHYSICAL THERAPIST

  • Physical Therapist
  • Westminster, MD
National Provider Identifier
1154566610
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18418 Issued in MD
Practice address
914 Washington Rd
Suite D
Westminster, MD 21157-5844
Phone
(410) 876-8570
Fax
(410) 848-4079
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18418 MD Primary

Addresses

Primary practice location

914 Washington Rd
Suite D
Westminster, MD 21157-5844

Mailing address

914 Washington Rd
Suite D
Westminster, MD 21157-5844
Phone (410) 876-8570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18418MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Primus Physical Therapy Fairfax Physical Therapist CurrentSince Nov 17, 2019 Accepting new patients

Locations

6101 Redwood Square Ctr
Ste 202
Centreville, VA 20121
Phone (703) 543-6660

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1154566610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 WASHINGTON RD",
            "address_2": "SUITE D",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575844",
            "telephone_number": "410-876-8570",
            "fax_number": "410-848-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 WASHINGTON RD",
            "address_2": "SUITE D",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575844",
            "telephone_number": "410-876-8570",
            "fax_number": "410-848-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA-DAVIDSON",
        "first_name": "DENISE",
        "middle_name": "MARIE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.