Active NPI
Rebecca Evelyn Davis
- Occupational Therapy Assistant
- Carthage, TX
National Provider Identifier
1245797828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 209899
- Practice address
- 715 S Market St
Carthage, TX 75633-3007 - Phone
- (903) 263-3571
- NPI assigned
- Mar 1, 2019
- Last updated
- Mar 1, 2019
- 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 Therapy Assistant | 224Z00000X | 209899 | TX | Primary |
Addresses
Primary practice location
715 S Market St
Carthage, TX 75633-3007
Mailing address
PO Box 648
Beckville, TX 75631-0648
Phone (903) 263-3571
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 |
|---|---|---|---|
| 209899 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551398400000",
"number": "1245797828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 648",
"city": "BECKVILLE",
"state": "TX",
"postal_code": "756310648",
"telephone_number": "903-263-3571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S MARKET ST",
"city": "CARTHAGE",
"state": "TX",
"postal_code": "756333007",
"telephone_number": "903-263-3571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "REBECCA",
"middle_name": "EVELYN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-01",
"last_updated": "2019-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "209899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carthage, TX
- Cornerstone Therapy and Balance Center of Carthage (Cornerstone Carthage)
- James C Cox
- Cicily Dianne Cross-Blair, FNP
- CVS Pharmacy Inc (CVS Pharmacy #07463)
- Brenda Carol Daum, PHARMACIST
- Dennis D Golden OD PC Inc
- Jessica Rae Derrick, M.S.,CCC/SLP
- Ben B Donald II, OD
- Susan Giroux Donald, OD
- Emily Dunn, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.