Individual provider Active NPI

Elizabeth Kidd Davis, PT, DPT

  • Physical Therapist
  • Wake Forest, NC
National Provider Identifier
1154585750
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P11686 Issued in NC
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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 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

Enrollment IDStateProvider typePAC IDDetails
I20160413002039 NC Practitioner - Physical Therapist in Private Practice 0941508667 Reassigns benefits to 1 organization

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
Activcare Physical Therapy, LLCGroup PAC ID 8628027471, 126 clinicians
Bone and Joint Surgery ClinicGroup PAC ID 1557661824, 17 clinicians

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 100Reported as group
Quality
85.21
Promoting interoperability
99
Improvement activities
40
Cost
77.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Jan 11, 2016 Accepting new patients
Activcare Physical Therapy, LLC Physical Therapist PastSince Nov 8, 2020 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.