Physical Medicine/Rehab

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

D0050415 Issued in MD

Legal business name

PHYSICAL MEDICINE/REHAB

Practice address

4000 Mitchellville Rd
Suite 324 B
Bowie, MD 20716-3104

Phone

(301) 860-0306

Fax

(301) 860-0307

NPI assigned

Jan 13, 2011

Last updated

Jan 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholette Martin-Davis

Title

MD

Phone

(301) 860-0305

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1255636858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE 324 B",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-860-0306",
            "fax_number": "301-860-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD",
            "address_2": "SUITE 324 B",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163104",
            "telephone_number": "301-860-0306",
            "fax_number": "301-860-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE/REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN-DAVIS",
        "authorized_official_first_name": "NICHOLETTE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "301-860-0305",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "D0050415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farah Phillips, SLP
• William B Phillips II, M.D.
• Phoenix Home Care LLC
• Tiffany Phoenix, M.S., CCC-SLP
• PHS Multispecialty Services (Providence Health Services, Inc)
• Physicians Medical Practice PA
• Physicians Trust Claims Services
• Physiotherapy Associates - NRH Rehab LLC (NovaCare Rehabilitation)
• Shayla Pickens
• Christine Pierpont, DPT

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Bowie, MD
• Providers in Bowie, MD by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.