Stacey Marie Davis, PTA, CLT
Individual provider Active NPI Physical Therapy Assistant · Dundalk, MD
NPI 1962513655 · NPPES record last updated Feb 16, 2024
Key facts
- NPI
- 1962513655
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A3045 (MD)
- Practice address
- 1576 Merritt Blvd Ste 7
Dundalk, MD 21222-2114 - Phone
- (410) 650-2145
- Fax
- (410) 282-5955
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3045 | MD | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A3045 | MD | Yes |
Addresses
Primary practice location
1576 Merritt Blvd Ste 7
Dundalk, MD 21222-2114
Mailing address
1576 Merritt Blvd Ste 7
Dundalk, MD 21222-2114
Phone (410) 650-2145
Other providers in Dundalk, MD
- CPDG-DD, LLC
- Florian Chris Ani Craan
- Mary Ann Craighead
- CRC Wellness Dundalk
- Margaret Mary Cruse
- Ann Dec
- Deepak Seth, MD Internal Medicine and Family Practice
- Michelle Martha Delong
- Frank Peter Deluca
- Anna Marie Deroose
All providers in Dundalk, MD · Physical Therapy Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.