ANITA DAVIDSON (PT) – Physical Therapist, NPI 1538475751

ANITA DAVIDSON (PT) is a healthcare provider. based in Gurnee, Illinois. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 070004540 (IL). The NPI Number for ANITA DAVIDSON (PT) is 1538475751

Main info

Female
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
ANITA DAVIDSON (PT)
NPI
1538475751
Phone
(847) 599-9171
Address
4835 KINGS WAY W
Enumeration Date
25 August 2010
Last Update Date
25 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8475998917
Graduation Year
1984 (42 years ago)
PAC ID
3476800434
Group Practice PAC ID
3173879186
Professional Enrollment ID
I20180721000040
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for ANITA DAVIDSON (PT)

  • 4835 KINGS WAY W

    GURNEE, IL 600313257

    Phone: (847) 599-9171

    Type: Mailing

  • 222 S GREENLEAF ST

    SUITE 101

    GURNEE, IL 600315705

    Phone: (847) 599-9171

    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: 2018-07-21

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
I20180721000040IPhysical Therapist In Private PracticeILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20422$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes15722$0
97530Therapy procedure using functional activities14421$0
97140Therapy procedure using manual technique, each 15 minutes8815$0
View full utilization report →

Insurance plans in this area (ZIP 60031)

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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: 3173879186View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What NPI should I save for ANITA DAVIDSON (PT)?
Save NPI 1538475751 if you need a stable reference for ANITA DAVIDSON (PT).
Is ANITA DAVIDSON (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ANITA DAVIDSON (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for ANITA DAVIDSON (PT). Clinical services aligned with this taxonomy classification.
What location shows for ANITA DAVIDSON (PT)?
We surface Gurnee, Illinois for ANITA DAVIDSON (PT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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