Judith Moresco Davidson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14314 Issued in MD

Practice address

188 Green St
Annapolis, MD 21401-2502

Phone

(410) 222-2900

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912104613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BANCROFT AVE",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214034436",
            "telephone_number": "410-267-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 GREEN ST",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214012502",
            "telephone_number": "410-222-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JUDITH",
        "middle_name": "MORESCO",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "14314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0722",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aynia V Datcher, MS, OTR/L
• Grace David
• Andrew M Davidson, CLINICAL PSYCH
• Erin Lee Davidson
• Geneva Davidson, RDH
• Paul W. Davies, M.D.
• Valerie Louise Davies, NP
• Carrie Veneman Davis, AU.D.
• Hung T Davis, MD
• Kathleen Davis

• Physical Therapist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.