Active NPI
Andra Davenport
- Occupational Therapy Assistant
- Saint Louis, MO
National Provider Identifier
1033787775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2020025191
- Practice address
- 7566 Cornell Ave
Saint Louis, MO 63130-2813 - Phone
- (314) 706-1842
- NPI assigned
- Jun 17, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2020025191 | MO | Primary |
Addresses
Primary practice location
7566 Cornell Ave
Saint Louis, MO 63130-2813
Mailing address
Therapy Relief at Hope
11971 Westline Industrial Ste. 103
Saint Louis, MO 63146
Phone (636) 242-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020025191 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1033787775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "THERAPY RELIEF AT HOPE",
"address_2": "11971 WESTLINE INDUSTRIAL STE. 103",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63146",
"telephone_number": "636-242-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7566 CORNELL AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631302813",
"telephone_number": "314-706-1842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "ANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-17",
"last_updated": "2024-02-12",
"certification_date": "2024-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2020025191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.