Individual provider Active NPI

Elizabeth Virginia Davis, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1427559327
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P18767 Issued in NC
Practice address
5935 Carnegie Blvd Ste 104
Charlotte, NC 28209-4672
Phone
(704) 323-2500
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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 P18767 NC Primary

Addresses

Primary practice location

5935 Carnegie Blvd Ste 104
Charlotte, NC 28209-4672

Mailing address

PO Box 601791
Charlotte, NC 28260-1791
Phone (704) 323-2500

Other practice location 1

3541 Randolph Rd Ste 100W
Charlotte, NC 28211
Phone (704) 323-2500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626003711 NC Practitioner - Physical Therapist in Private Practice 4880958883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Physical Therapy LLCGroup PAC ID 0941691612, 4 clinicians

Practice addresses (Care Compare)

2400 Park Rd
Suite G 1
Charlotte, NC 28203-6072
Phone (704) 269-8874

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P18767NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina Physical Therapist CurrentSince May 28, 2018 Accepting new patients
Full Circle Physical Therapy LLC Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Orthocarolina Physical Therapist CurrentSince May 28, 2018 Accepting new patients

Locations

2400 Park Rd
Ste G1
Charlotte, NC 28203
Phone (704) 269-8874

3541 Randolph Rd
Ste 100W
Charlotte, NC 28211
Phone (704) 323-2500

5935 Carnegie Blvd
Ste 104
Charlotte, NC 28209
Phone (704) 323-2500

2001 Vail Ave
Ste 200
Charlotte, NC 28207
Phone (704) 323-2564

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

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": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1427559327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791",
            "telephone_number": "704-323-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 CARNEGIE BLVD STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282094672",
            "telephone_number": "704-323-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3541 Randolph Rd Ste 100W",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28211",
            "country_code": "US",
            "telephone_number": "704-323-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ELIZABETH",
        "middle_name": "VIRGINIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.