Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ariel Dominique Davis

Individual provider Physical Therapist · NPI 1700657152

Ariel Dominique Davis is a Physical Therapist in Private Practice in Winston Salem, North Carolina. Graduated from George Washington University School of Medicine in 2023, 3 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Maryland and North Carolina.

Years since qualifying
3
Trained at
George Washington University School of Medicine
Licensed in
MD, NC
In the registry since
2024
Specialties on file
3
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Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-3202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4483 Forbes Blvd Ste A, Lanham, MD 20706-4377 — (240) 467-5732
  • 4467 Old Branch Ave Ste 103, Temple Hills, MD 20748-1854 — (301) 358-6155
  • 4255 Altamont Pl Ste 201, White Plains, MD 20695-3024 — (301) 645-8020

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P23370 (NC)
Physical Therapist Taxonomy 225100000X · Licence 29470 (MD)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1700657152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2024
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Winston Salem