Individual provider Active NPI

David Levy, OT, CHT

  • Hand Occupational Therapist
  • Hazelwood, MO
National Provider Identifier
1174653489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
004580 Issued in MO
Practice address
6308 Hazelwest CT
Hazelwood, MO 63042-1739
Phone
(314) 895-4664
Fax
(314) 731-2340
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 004580 MO Primary

Addresses

Primary practice location

6308 Hazelwest CT
Hazelwood, MO 63042-1739

Mailing address

6308 Hazelwest CT
Hazelwood, MO 63042-1739
Phone (314) 895-4664

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

Practice roles

OrganizationSpecialtyStatusNew patients
North County Sports Fitness & Rehabilitation Hand PastSince Nov 23, 2013 Accepting new patients
Westside Rehab, Inc Past Accepting new patients
Boone Physician Services, LLC Past Accepting new patients

Organizations & group practices 3

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174653489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 HAZELWEST CT",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421739",
            "telephone_number": "314-895-4664",
            "fax_number": "314-731-2340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 HAZELWEST CT",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421739",
            "telephone_number": "314-895-4664",
            "fax_number": "314-731-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "OT, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "004580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.