Michelle Davenport, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

121571 Issued in TX

Practice address

601 Hollybrook Dr
Longview, TX 75605-2418

Phone

(903) 758-8888

NPI assigned

Oct 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1023205127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 COUNTY ROAD 2091",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756336726",
            "telephone_number": "903-238-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HOLLYBROOK DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052418",
            "telephone_number": "903-758-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "McComb",
            "state": "MS",
            "postal_code": "396483926",
            "country_code": "US",
            "telephone_number": "601-250-4815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "MICHELLE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sterling Dao, DMD
• Courtney Daproza, LCSW
• Teresa M Darden, FNP
• Krista Smith Darr, DDS
• Tatiana Dejanie Darthard
• David Lane Brown, MD
• David Vaca Jr DDS PA (Sleep Well Longview)
• Davis Medical Professionals
• David Davis, PT
• Donna Davis, MD

• Occupational Therapist in Longview, TX
• Providers in Longview, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.