Active NPI
Shara Marie Davis, OT
- Occupational Therapist
- San Antonio, TX
National Provider Identifier
1184763377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 111878
- Practice address
- 1919 Oakwell Farms Pkwy
Suite 145
San Antonio, TX 78218-1777 - Phone
- (210) 822-2402
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 111878 | TX | Primary |
Addresses
Primary practice location
1919 Oakwell Farms Pkwy
Suite 145
San Antonio, TX 78218-1777
Mailing address
382 Wild Coyote TRL
Marion, TX 78124-3064
Phone (936) 328-1899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111878 | Other | TX | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 111878 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1184763377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 WILD COYOTE TRL",
"city": "MARION",
"state": "TX",
"postal_code": "781243064",
"telephone_number": "936-328-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 OAKWELL FARMS PKWY",
"address_2": "SUITE 145",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782181777",
"telephone_number": "210-822-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SHARA",
"middle_name": "MARIE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "111878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "111878",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.