RUKIYA TYRIE DAVIS (PT, DPT) – Physical Therapist, NPI 1356805675

RUKIYA TYRIE DAVIS (PT, DPT) is a healthcare provider. based in Delmar, Delaware. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT033087 (PA). The NPI Number for RUKIYA TYRIE DAVIS (PT, DPT) is 1356805675

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
RUKIYA TYRIE DAVIS (PT, DPT)
NPI
1356805675
Phone
(443) 754-1706
Address
36704 BI STATE BLVD
Enumeration Date
31 January 2019
Last Update Date
5 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4845778950
Graduation Year
2024 (2 years ago)
PAC ID
5395268668
Group Practice PAC ID
1951530849
Professional Enrollment ID
I20250327000649
Address ID
PA190875158RA555XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for RUKIYA TYRIE DAVIS (PT, DPT)

  • Bi State Boulevard, Delmar, Wicomico County, Maryland, 21875, United States

    DELMAR, DE 199403426

    Phone: (443) 754-1706

    Type: Mailing

  • 555 E Lancaster Ave

    Radnor, PA 190875158

    Phone: (267) 507-7572

    Type: Location

  • Neumann University, 1, Neumann Drive, Aston Township, Delaware County, Pennsylvania, 19014, United States

    ASTON, PA 190141277

    Phone: (610) 558-5505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250327000649IPhysical Therapist In Private PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19940)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951530849View full group profile
NameSpecialtyState
-NY
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

What unique ID ties claims to RUKIYA TYRIE DAVIS (PT, DPT)?
NPI 1356805675 is assigned to RUKIYA TYRIE DAVIS (PT, DPT) under the national enumeration system.
Is RUKIYA TYRIE DAVIS (PT, DPT) currently active in the NPI registry?
CMS-published data lists RUKIYA TYRIE DAVIS (PT, DPT) as an active registrant.
Does RUKIYA TYRIE DAVIS (PT, DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for RUKIYA TYRIE DAVIS (PT, DPT). Clinical services aligned with this taxonomy classification.
Does RUKIYA TYRIE DAVIS (PT, DPT) practice in Delaware?
You will see Delmar, Delaware on file for RUKIYA TYRIE DAVIS (PT, DPT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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