Mary Monisa Davidge, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

AO1480 Issued in MD

Practice address

3701 Woodlea Ave
Baltimore, MD 21206-5033

Phone

(410) 961-4415

NPI assigned

Nov 4, 2010

Last updated

Nov 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Monisa Parker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1205137478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 WOODLEA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065033",
            "telephone_number": "410-961-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 WOODLEA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212065033",
            "telephone_number": "410-961-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDGE",
        "first_name": "MARY",
        "middle_name": "MONISA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "AO1480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PARKER",
            "middle_name": "MONISA",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David's Loft Clinical Programs (David's Loft Center for Outpatient Substance Use)
• David's Loft Clinical Programs
• David's Loft Clinical Programs
• David's Loft Clinical Programs
• David's Loft Clinical Programs
• Trenton Davidheiser, DDS
• Caroline Davidoff
• Howard Allen Davidov, M.D.
• Davids Loft Center for Somatic and Behavioral Healthcare
• Davids Loft Center for Somatic and Behavioral Healthcare

• Occupational Therapy Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Occupational Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.