Tanner Davis, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

447202 Issued in SC

Practice address

1849 Capri Dr
Charleston, SC 29407-7603

Phone

(843) 270-8505

Fax

(833) 452-0726

NPI assigned

Apr 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pluff Mud Therapy Services

  • Occupational Therapist
  • Charleston, SC
  • NPI 1013232503
  NPD (past)

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1255912978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 COLFAX CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667946",
            "telephone_number": "843-303-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 CAPRI DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077603",
            "telephone_number": "843-270-8505",
            "fax_number": "833-452-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "TANNER",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "447202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Davis, AGNP-C
• Rhiannan Davis, CRNA
• Robert Gregg Davis, CRNA
• Scott Alan Davis, M.D.
• Shakelcia Davis
• Taylor Lindsey Davis, DO
• Terri Catherine Davis, LCSW
• Tina Louise Davis, CRNA
• Jane Page Dawsey, NNP
• Charlene C Dawson, LISW-CP

• Occupational Therapy Assistant in Charleston, SC
• Providers in Charleston, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.