Individual provider Active NPI

Abigail Grace Davis, OTR/L

  • Occupational Therapist
  • Richmond, KY
National Provider Identifier
1154916161
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
307 Jason Dr Ste 4
Richmond, KY 40475-2774
Phone
(859) 353-3666
Fax
(859) 448-7077
NPI assigned
Mar 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X KY Primary

Addresses

Primary practice location

307 Jason Dr Ste 4
Richmond, KY 40475-2774

Mailing address

752 Richmond Rd N
Berea, KY 40403-1059
Phone (859) 353-3666

Other practice location 1

752 Richmond Rd N
Berea, KY 40403-1059
Phone (859) 353-3666

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Fusion Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Busy Bee Occupational Therapy Occupational Therapist PastSince Mar 7, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1154916161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 RICHMOND RD N",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031059",
            "telephone_number": "859-353-3666",
            "fax_number": "859-448-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 JASON DR STE 4",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752774",
            "telephone_number": "859-353-3666",
            "fax_number": "859-448-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "752 Richmond Rd N",
            "address_purpose": "LOCATION",
            "city": "Berea",
            "state": "KY",
            "postal_code": "404031059",
            "country_code": "US",
            "telephone_number": "859-353-3666",
            "fax_number": "859-448-7077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ABIGAIL",
        "middle_name": "GRACE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fusion",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "752 Richmond Rd N",
            "city": "Berea",
            "state": "KY",
            "country_code": "US",
            "postal_code": "404031059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

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

Verify at the official NPI Registry.