Individual provider Active NPI

Anna Davidow

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1427100015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2605 Blue Ridge Rd Ste 230
Raleigh, NC 27607-6475
Phone
(919) 781-1637
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 Primary

Addresses

Primary practice location

2605 Blue Ridge Rd Ste 230
Raleigh, NC 27607-6475

Mailing address

708 Martry Rd
Durham, NC 27713-7220
Phone (919) 475-8747

Other identifiers 1

IdentifierTypeStateIssuer
NC7088OtherNCLICENSE#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170313000517 NC Practitioner - Physical Therapist in Private Practice 7315974151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, 540 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

10205 US Hwy 15-510
Suite 24
Southern Pines, NC 28387
Phone (910) 704-5430

3611 Mt Holly Huntersville Rd
Suite 204
Charlotte, NC 28216-8706
Phone (980) 256-3171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Proactive Therapy of North Carolina Inc Current Accepting new patients

Locations

60 Livingston St
Ste 400
Asheville, NC 28801
Phone (828) 258-0797

3611 Mt Holly Huntersville Rd
Ste 204
Charlotte, NC 28216
Phone (980) 256-3171

2358 US Highway 70
Ste Ab
Swannanoa, NC 28778
Phone (828) 686-3375

Organizations & group practices 3

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427100015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 MARTRY RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137220",
            "telephone_number": "919-475-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 BLUE RIDGE RD STE 230",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076475",
            "telephone_number": "919-781-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDOW",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "NC7088",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.