Individual provider Active NPI

Ariel Dominique Davis

  • Physical Therapist
  • Winston Salem, NC
National Provider Identifier
1700657152
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23370 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone
(336) 716-2255
Fax
(336) 716-3202
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29470 MD
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapist 225100000X P23370 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2255

Other practice location 1

4483 Forbes Blvd Ste A
Lanham, MD 20706-4377
Phone (240) 467-5732

Other practice location 2

4255 Altamont Pl Ste 201
White Plains, MD 20695-3024
Phone (301) 645-8020

Other practice location 3

4467 Old Branch Ave Ste 103
Temple Hills, MD 20748-1854
Phone (301) 358-6155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240207000428 DC Practitioner - Physical Therapist in Private Practice 6002259017 Reassigns benefits to 2 organizations
I20241122002874 NC Practitioner - Physical Therapist in Private Practice 6002259017 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
George Washington University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Forsyth Medical Group, LLCGroup PAC ID 3678478054, 47 clinicians

Practice addresses (Care Compare)

3504 Flint St
Greensboro, NC 27405-3488
Phone (336) 545-4157

3711 Battleground Ave
Greensboro, NC 27410-2345
Phone (833) 493-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29470MDMDPharmacist
P23370NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc. Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 25, 2025 Accepting new patients
Forsyth Medical Group LLC Single Specialty CurrentSince Jun 2, 2025 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Wake Forest University Health Sciences Single Specialty CurrentSince Sep 23, 2024 Accepting new patients
Forsyth Medical Group, LLC Single Specialty CurrentSince Jun 2, 2025 Accepting new patients
Forsyth Medical Group, LLC Single Specialty Current Accepting new patients
Primary Physical Therapy, Inc. Single Specialty CurrentSince Feb 12, 2024 Accepting new patients
Seneca Physical Therapy Inc Single Specialty CurrentSince Feb 12, 2024 Accepting new patients
Gatekeeper Enterprises, LLC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Gatekeeper Enterprises, LLC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Duke University Health System, Inc. Single Specialty CurrentSince Sep 25, 2025 Accepting new patients
North Carolina Luna Care Physical Therapy LLC Single Specialty CurrentSince Oct 1, 2025 Accepting new patients

Locations

4483 Forbes Blvd
Ste A
Lanham, MD 20706
Phone (240) 467-5732

15201 Shady Grove Rd
Ste 106
Rockville, MD 20850
Phone (301) 948-4395

4467 Old Branch Ave
Ste 103
Temple Hills, MD 20748
Phone (301) 358-6155

4255 Altamont Pl
Ste 201
White Plains, MD 20695
Phone (301) 645-8020

2701 Pickett Rd
Durham, NC 27705
Phone (919) 419-4012

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3711 Battleground Ave
Greensboro, NC 27410

4517 Jessup Grove Rd
Greensboro, NC 27410
Phone (336) 314-0611

27 Doctors Dr
Hendersonvlle, NC 28792
Phone (828) 687-3800

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1700657152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2255",
            "fax_number": "336-716-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-2255",
            "fax_number": "336-716-3202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4483 Forbes Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207064377",
            "country_code": "US",
            "telephone_number": "240-467-5732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4255 Altamont Pl Ste 201",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953024",
            "country_code": "US",
            "telephone_number": "301-645-8020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4467 Old Branch Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Temple Hills",
            "state": "MD",
            "postal_code": "207481854",
            "country_code": "US",
            "telephone_number": "301-358-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ARIEL",
        "middle_name": "DOMINIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29470",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.