Active NPI
Keri Hill Davis, OTR/L
- Occupational Therapist
- Greensboro, AL
National Provider Identifier
1104069855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1259
- Practice address
- 1502 Main St
Greensboro, AL 36744-1552 - Phone
- (334) 624-3950
- Fax
- (334) 624-3960
- NPI assigned
- Apr 10, 2009
- 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 Therapist | 225X00000X | 1259 | AL | Primary |
Addresses
Primary practice location
1502 Main St
Greensboro, AL 36744-1552
Mailing address
PO Box 6
Livingston, AL 35470-0006
Phone (205) 575-1609
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1259 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1104069855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6",
"city": "LIVINGSTON",
"state": "AL",
"postal_code": "354700006",
"telephone_number": "205-575-1609",
"fax_number": "205-575-1609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 MAIN ST",
"city": "GREENSBORO",
"state": "AL",
"postal_code": "367441552",
"telephone_number": "334-624-3950",
"fax_number": "334-624-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KERI",
"middle_name": "HILL",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-10",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "1259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.