Individual provider Active NPI

Kyle Jeffrey Davis, DPT

  • Physical Therapist
  • Glen Burnie, MD
National Provider Identifier
1881097632
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25275 Issued in MD
Practice address
7081 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-1431
Phone
(410) 691-1090
Fax
(410) 691-1094
NPI assigned
Oct 7, 2014
Last updated
Jan 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25275 MD Primary

Addresses

Primary practice location

7081 Baltimore Annapolis Blvd
Glen Burnie, MD 21061-1431

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150106001541 MD Practitioner - Physical Therapist in Private Practice 3375866916 Reassigns benefits to 2 organizations
I20200706002164 DC Practitioner - Physical Therapist in Private Practice 3375866916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

1264 E Joppa Rd
200 Ati Physical Therapy
Baltimore, MD 21286-5811
Phone (443) 921-3198

1510 Rock Spring Rd
Suite C
Forest Hill, MD 21050-2851
Phone (410) 420-3619

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 13, 2014 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Nov 13, 2014 Accepting new patients
Ati Holding LLC Physical Therapist Past Accepting new patients
Ati Holding LLC Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2327 Forest Dr
Ste D
Annapolis, MD 21401
Phone (443) 782-7243

6842 Race Track Rd
#B
Bowie, MD 20715
Phone (240) 544-0200

817 Maiden Choice Ln
Ste 106
Catonsville, MD 21228
Phone (443) 297-1862

836 N Rolling Rd
Catonsville, MD 21228
Phone (443) 314-0560

6476 Dobbin Center Way
Ste 450
Columbia, MD 21045
Phone (410) 910-3242

1401 Merritt Blvd
Ste D
Dundalk, MD 21222
Phone (443) 530-9750

117 Orville Rd
Essex, MD 21221
Phone (410) 686-2270

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

2645 Annapolis Rd
Ste B
Hanover, MD 21076
Phone (443) 351-2063

2 Park Center Ct
Ste 200
Owings Mills, MD 21117
Phone (240) 545-0507

9934 Reisterstown Rd
Ste 18E
Owings Mills, MD 21117
Phone (240) 545-0507

8116 Ritchie Hwy
Pasadena, MD 21122
Phone (443) 261-2220

8511 Liberty Rd
Ste Bb
Randallstown, MD 21133
Phone (443) 426-9100

511 Main St
Reisterstown, MD 21136
Phone (410) 526-5307

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

580 Ritchie Hwy
Ste E
Severna Park, MD 21146
Phone (410) 544-7417

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

Organizations & group practices 4

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": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1881097632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7081 BALTIMORE ANNAPOLIS BLVD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210611431",
            "telephone_number": "410-691-1090",
            "fax_number": "410-691-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KYLE",
        "middle_name": "JEFFREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-07",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25275",
            "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 Jan 16, 2015; 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.