NPIMap

Individual provider Active NPI

Cindy J Davis, OTR/L

  • Occupational Therapist
  • Suwanee, GA
National Provider Identifier
1164671814
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT003035 Issued in GA
Practice address
3725 Lawrenceville Suwanee Rd
Suite B-3
Suwanee, GA 30024-2320
Phone
(770) 831-2313
Fax
(770) 831-2778
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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 OT003035 GA Primary

Addresses

Primary practice location

3725 Lawrenceville Suwanee Rd
Suite B-3
Suwanee, GA 30024-2320

Mailing address

3725 Lawrenceville Suwanee Rd
Suite B-3
Suwanee, GA 30024-2320
Phone (770) 831-2313

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

LicenseStateTypeSpecialty
OT003035GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Atlanta Speech & Language Clinics, Inc. Occupational Therapist Past Accepting new patients
Buford Kids Spot LLLP Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1164671814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE B-3",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242320",
            "telephone_number": "770-831-2313",
            "fax_number": "770-831-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE B-3",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242320",
            "telephone_number": "770-831-2313",
            "fax_number": "770-831-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CINDY",
        "middle_name": "J",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.