Active NPI
Theresa Sholtis Davis, O. T.
- Occupational Therapist
- Frederick, MD
National Provider Identifier
1437167947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 03093
- Practice address
- 197 Thomas Johnson Dr Ste B
Frederick, MD 21702-4314 - Phone
- (301) 662-1997
- NPI assigned
- Aug 3, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 03093 | MD | Primary |
Addresses
Primary practice location
197 Thomas Johnson Dr Ste B
Frederick, MD 21702-4314
Mailing address
197 Thomas Johnson Dr Ste B
Frederick, MD 21702-4314
Phone (301) 662-1997
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KBC4H0-61389202 | Other | MD | BC/BS OF MARYLAND |
| S404-0006 | Other | MD | CAREFIRST BC/BS |
Other names 1
- Theresa Sholtis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03093 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homecare Rehab, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech/Language/Hearing Specialist/Technologist
- Frederick, MD
- NPI 1336254192
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1437167947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 THOMAS JOHNSON DR STE B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024314",
"telephone_number": "301-662-1997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 THOMAS JOHNSON DR STE B",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024314",
"telephone_number": "301-662-1997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "THERESA",
"middle_name": "SHOLTIS",
"credential": "O. T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "03093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MARYLAND",
"identifier": "KBC4H0-61389202",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "S404-0006",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "SHOLTIS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.