Tessa Monique Davis, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2218 Issued in AR

Practice address

21 Gunstock Lane
North Little Rock, AR 72120

Phone

(870) 219-6565

NPI assigned

Nov 30, 2010

Last updated

Dec 8, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

Practice roles

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

• Bluepark Therapy, Inc.

  • Physical Therapist
  • Little Rock, AR
  • NPI 1568856128
  NPD (past)

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1033411897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GUNSTOCK LANE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GUNSTOCK LANE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72120",
            "telephone_number": "870-219-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TESSA",
        "middle_name": "MONIQUE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "2218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzi T. Davis, LCSW
• Monzelle Obrian Davis, ACNPC-AG
• Morgan Davis
• Nancy Kang Davis, MD
• Shannon Marquita Davis, RN
• Mary Catherine Yates Davison, LCSW
• Dawson J Williams
• Bradley Scott Dawson
• Bruce Edward Dawson Jr.
• Jose G De la Rosa, D.C.

• Occupational Therapist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.