Individual provider Active NPI

Tene Davis, OTR/L

  • Occupational Therapist
  • Washington, DC
National Provider Identifier
1023439866
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010000921 Issued in DC
Practice address
1330 Massachusetts Ave NW
Washington, DC 20005-4155
Phone
(202) 347-6473
NPI assigned
Dec 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT010000921 DC Primary
Occupational Therapist 225X00000X 3411 AL

Addresses

Primary practice location

1330 Massachusetts Ave NW
Washington, DC 20005-4155

Mailing address

1330 Massachusetts Ave NW
Washington, DC 20005-4155
Phone (202) 347-6473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140930000375 DC Practitioner - Occupational Therapist in Private Practice 4981824794 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3411ALMDOccupational Therapist
OT010000921DCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Apr 1, 2020 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Sep 26, 2013 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Apr 1, 2020 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Sep 26, 2013 Accepting new patients

Locations

5485 Westbard Ave
Bethesda, MD 20816
Phone (240) 283-7094

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1023439866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 MASSACHUSETTS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054155",
            "telephone_number": "202-347-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 MASSACHUSETTS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200054155",
            "telephone_number": "202-347-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TENE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010000921",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "3411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.