Individual provider Active NPI

Cathy Davis, OT/L, CPAM, CLT

  • Physical Rehabilitation Occupational Therapist
  • White Hall, MD
National Provider Identifier
1275290199
Registry record updated Nov 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
04309 Issued in MD
Practice address
5437 Long Corner Rd
White Hall, MD 21161-8900
Phone
(443) 613-3434
NPI assigned
Nov 27, 2021
Last updated
Nov 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 04309 MD Primary

Addresses

Primary practice location

5437 Long Corner Rd
White Hall, MD 21161-8900

Mailing address

5437 Long Corner Rd
White Hall, MD 21161-8900
Phone (443) 613-3434

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Health Rehabilitation Services, LLC CurrentSince Jan 2, 2025 Accepting new patients

Locations

650 McHenry Rd
Ste 1100
Aberdeen, MD 21001
Phone (443) 843-6320

615 W Macphail Rd
Ste 210
Bel Air, MD 21014
Phone (443) 409-0051

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1275290199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5437 LONG CORNER RD",
            "city": "WHITE HALL",
            "state": "MD",
            "postal_code": "211618900",
            "telephone_number": "443-613-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5437 LONG CORNER RD",
            "city": "WHITE HALL",
            "state": "MD",
            "postal_code": "211618900",
            "telephone_number": "443-613-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CATHY",
        "credential": "OT/L, CPAM, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-27",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MD",
            "license": "04309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.