Maryellen Davis

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

28083 Issued in MD

Practice address

1141 Sunrise Beach Rd
Crownsville, MD 21032-1126

Phone

(410) 923-6800

NPI assigned

Oct 20, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1942177472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S RITTERS LN",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173336",
            "telephone_number": "571-226-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 SUNRISE BEACH RD",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321126",
            "telephone_number": "410-923-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Belmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Lorton",
            "state": "VA",
            "postal_code": "220793825",
            "country_code": "US",
            "telephone_number": "703-606-6213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARYELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Michael Copeland, MS, RN, CRNP, CEN
• Crownsville Foot and Ankle Center LLC
• Crownsville Health Care LLC
• Crownsville Health Care LLC
• Betsy Gill Crozier, PH.D.
• Sonya Warren Davis
• Patricia Ann Deltuva, PTA
• Corey M Dirks
• Discovery Practice Management, Inc
• Discovery Practice Management, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.