Trinita Nicole Davis, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

6317 Issued in NC

Practice address

19530 Mt Zion Pkwy
Cornelius, NC 28031-8398

Phone

(704) 997-2970

NPI assigned

Mar 16, 2021

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

Electronic endpoints 1

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": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1104401629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 MISTY ARBOR WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693177",
            "telephone_number": "803-467-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19530 MT ZION PKWY",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318398",
            "telephone_number": "704-997-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TRINITA",
        "middle_name": "NICOLE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "6317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "endpointDescription": "Optima",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Optima rehab documentation system",
            "address_1": "19530 Mt Zion Pkwy",
            "city": "Cornelius",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280318398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Whittemore Daniel, LCMHCA
• Deja Daniels
• Christopher Davis, DC
• Jason E Davis, D.C.
• Kelli Roberts Davis, DPT, GCS, CEEAA
• Nicole De Los Rios
• Brooklynn Haas Dease, NCC, LCMHC, MA
• Katherine A Debree, PT
• Nancy Elizabeth Deem, FNP
• Matt Deeringer, MED, ATC

• Occupational Therapy Assistant in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.