Individual provider Active NPI

Susan Ellen Davis, P.T.

  • Orthopedic Physical Therapist
  • Glen Burnie, MD
National Provider Identifier
1518042639
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
17118 Issued in MD
Practice address
1600 Crain Hwy S
Suite 302
Glen Burnie, MD 21061-5577
Phone
(410) 768-1213
Fax
(410) 768-1203
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Orthopedic Physical Therapist 2251X0800X 17118 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S
Suite 302
Glen Burnie, MD 21061-5577

Mailing address

6261 Deep River Cyn
Columbia, MD 21045-2572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200331000730 DC Practitioner - Physical Therapist in Private Practice 4385073121 Reassigns benefits to 1 organization
I20250618000975 MD Practitioner - Physical Therapist in Private Practice 4385073121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Maryland School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Advanced Orthopaedics LLCGroup PAC ID 8123260981, shared by 42 NPIs, 599 clinicians

Practice addresses (Care Compare)

1015 18TH St NW
Suite 400 Orthopaedic Medicine and Surgery
Washington, DC 20036-5217
Phone (202) 827-8317

1311 S Main St
Suite 301
Mount Airy, MD 21771-5464
Phone (301) 607-9096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 5, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC Orthopedic Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 9, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 5, 2025 Accepting new patients
Bayada Home Health Care, Inc. PastSince Jul 1, 2020 Accepting new patients
Virginia Home Therapy LLC Orthopedic PastSince Nov 22, 2020 Accepting new patients

Locations

1015 18th St NW
Ste 400
Washington, DC 20036
Phone (202) 827-8317

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

1311 S Main St
Ste 301
Mount Airy, MD 21771
Phone (301) 607-9096

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

222 E Baltimore St
Ste 103
Taneytown, MD 21787
Phone (410) 756-1562

Organizations & group practices 7

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518042639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 DEEP RIVER CYN",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 302",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "410-768-1213",
            "fax_number": "410-768-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SUSAN",
        "middle_name": "ELLEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "17118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

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.