Aaron Davis, PT, DPT

Individual provider Active NPI Physical Therapist · Hollywood, MD

NPI 1700295482 · NPPES record last updated Aug 6, 2024

Key facts

NPI
1700295482
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
25109 (MD)
Practice address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone
(301) 373-2588
Fax
(301) 373-4558
NPI assigned
Aug 7, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150123000160 MD Practitioner - Physical Therapist in Private Practice 7810211844

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25109 MD Yes

Addresses

Primary practice location

24035 Three Notch Rd
Hollywood, MD 20636-4871

Mailing address

210 E Centre St
Baltimore, MD 21202-3619
Phone (410) 659-5993

Other practice location 1

210 E Centre St
Baltimore, MD 21202-3619
Phone (410) 659-5993

Other providers in Hollywood, MD

All providers in Hollywood, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.