Active NPI
Kathleen Davis
- Physical Therapist
- Annapolis, MD
National Provider Identifier
1861950867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19087
- Practice address
- 712 Caleb LN
Annapolis, MD 21401-4561 - Phone
- (410) 507-1800
- NPI assigned
- Mar 8, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19087 | MD | Primary |
Addresses
Primary practice location
712 Caleb LN
Annapolis, MD 21401-4561
Mailing address
2600 Timber CV
Annapolis, MD 21401-6824
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19087 | Other | MD | MARYLAND STATE BOARD OF PHYSICAL THERAPY EXAMINERS |
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 |
|---|---|---|---|
| 19087 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552003200000",
"number": "1861950867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 TIMBER CV",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214016824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 CALEB LN",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014561",
"telephone_number": "410-507-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-08",
"last_updated": "2019-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND STATE BOARD OF PHYSICAL THERAPY EXAMINERS",
"identifier": "19087",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.