Graeme Davis, COTA

Primary specialty

Rehabilitation Registered NurseTaxonomy code 163WR0400X

License

46TA09023600 Issued in NJ

Practice address

23816 Birch LN
Lewes, DE 19958-5341

Phone

(302) 490-7858

NPI assigned

Mar 29, 2016

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1235592197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199711288",
            "telephone_number": "302-490-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23816 BIRCH LN",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199585341",
            "telephone_number": "302-490-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GRAEME",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "DE",
            "license": "U2-1125",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "NJ",
            "license": "46TA09023600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Darbee, PHARMD
• Leo Jacob Darmstadter III, PHARMD
• Jordan Dattoli
• Catherine Daube, OTR/L
• Kendyl Davidson
• Gwen Elizabeth Davis, FNP-BC; PMHNP-BC
• Laura Davis, RN
• Monica Davis
• Sharon McVey Davis, R.N.
• Temyra Davis, RN

• Rehabilitation Registered Nurse in Lewes, DE
• Providers in Lewes, DE by specialty
• Rehabilitation Registered Nurse in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.