Active NPI
Elizabeth Kidd Davis, PT, DPT
- Physical Therapist
- Wake Forest, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P11686
- Practice address
- 1009 Stadium Dr Ste 124
Wake Forest, NC 27587-4687 - Phone
- (919) 453-5910
- Fax
- (919) 453-5914
- NPI assigned
- Jul 12, 2008
- Last updated
- Jul 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P11686 | NC | Primary |
Addresses
Primary practice location
1009 Stadium Dr Ste 124
Wake Forest, NC 27587-4687
Mailing address
2220 Raven Rd Unit 106
Raleigh, NC 27614-6774
Phone (919) 548-3251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1009 Stadium Dr
Suite 124
Wake Forest, NC 27587-4687
Phone (919) 453-5910
166 Springbrook Ave
Suite 201
Clayton, NC 27520-8520
Phone (919) 535-8461
3801 Wake Forest Rd
Suite 220
Raleigh, NC 27609-6864
Phone (919) 872-5296
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 85.21
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activcare Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Activcare Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Proactive Therapy of North Carolina Inc | Past | Accepting new patients |
Locations
1613 Walnut St
Cary, NC 27511
Phone (919) 465-1422
166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461
3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042
1009 Stadium Dr
Ste 124
Wake Forest, NC 27587
Phone (919) 453-5910
Interoperability endpoints
- elizabeth.davis.p12@direct.athleticoltd.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pivot Physical Therapy of Carolina
- Clinic/Center
- Raleigh, NC
- NPI 1548409626
Physical Therapist
-
- Orthopaedic Surgery Physician
- Raleigh, NC
- NPI 1730583600
-
dba Pivot Physical Therapy of the Carolinas
- Occupational Therapist
- Wake Forest, NC
- NPI 1356942981
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Raleigh, NC
- NPI 1689679433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1154585750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2220 RAVEN RD UNIT 106",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276146774",
"telephone_number": "919-548-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 STADIUM DR STE 124",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874687",
"telephone_number": "919-453-5910",
"fax_number": "919-453-5914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ELIZABETH",
"middle_name": "KIDD",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-12",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P11686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.