Active NPI
Susan Ellen Davis, P.T.
- Orthopedic Physical Therapist
- Glen Burnie, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 17118
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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, MD
Enrollment records 2
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 LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | 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 | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Bayada Home Health Care, Inc. | Past | Accepting new patients | |
| Virginia Home Therapy LLC | Orthopedic | Past | 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.
-
- Orthopaedic Surgery Physician
- Olney, MD
- NPI 1487093167
-
- Orthopaedic Surgery Physician
- Manassas, VA
- NPI 1265871958
DC, Orthopedic
-
- Durable Medical Equipment & Medical Supplies
- Hanover, MD
- NPI 1760872709
-
- Anesthesiology Physician
- Bethesda, MD
- NPI 1831518000
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Home Health Agency
- Gaithersburg, MD
- NPI 1902149891
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.