Little Roots Therapy, LLC

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Legal business name

LITTLE ROOTS THERAPY, LLC

Doing business as

Katie Davidson

Practice address

2941 N Davis St
Lavaca, AR 72941-4517

Phone

(479) 806-2879

NPI assigned

Jan 15, 2024

Last updated

Aug 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Katie Renee Davidson, COTA/LNPI 1831602895

Title

Owner/Cota

Phone

(479) 806-2879

Specialties & licenses 1

Addresses

Other names 1

• Katie Davidson Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Renee Davidson, COTA/L

  • Occupational Therapy Assistant
  • Lavaca, AR
  • NPI 1831602895

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1104697341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 N DAVIS ST",
            "city": "LAVACA",
            "state": "AR",
            "postal_code": "729414517",
            "telephone_number": "479-806-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 N DAVIS ST",
            "city": "LAVACA",
            "state": "AR",
            "postal_code": "729414517",
            "telephone_number": "479-806-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROOTS THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/COTA",
        "authorized_official_telephone_number": "479-806-2879",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katie Davidson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Jo Hubbard, APN
• Lavaca Family Clinic
• Lavaca School District
• Lavaca Wellness Clinic, P.a.
• Cynthia Leach
• River Valley Primary Care Services (Lavaca Family Dental)
• River Valley Primary Care Services (Lavaca Wellness Center)
• Kaylee Taylor
• Marlene Wadley, LPC

• Occupational Therapy Assistant in Lavaca, AR
• Providers in Lavaca, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.