Active NPI
Malerie S Davis, COTA
- Occupational Therapy Assistant
- Carson City, NV
National Provider Identifier
1295386126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 17428
- Practice address
- 1001 Mountain St
Carson City, NV 89703-3848 - Phone
- (775) 443-4800
- NPI assigned
- Sep 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 17428 | FL | Primary |
Addresses
Primary practice location
1001 Mountain St
Carson City, NV 89703-3848
Mailing address
65 Greenwood Ave
Ormond Beach, FL 32174-5325
Phone (386) 268-3313
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 |
|---|---|---|---|
| 17428 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1295386126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 GREENWOOD AVE",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321745325",
"telephone_number": "386-268-3313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MOUNTAIN ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897033848",
"telephone_number": "775-443-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MALERIE",
"middle_name": "S",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "17428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson City, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.