Sheila Denise Davis, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057004935 Issued in IL

Practice address

2921 W 61St PL Apt 2G
Merrillville, IN 46410-2260

Phone

(219) 613-2362

NPI assigned

May 13, 2020

Last updated

May 13, 2020By the provider in NPPES

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

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1316569379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 80TH PL # 11484",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105433",
            "telephone_number": "219-613-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 W 61ST PL APT 2G",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102260",
            "telephone_number": "219-613-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SHEILA",
        "middle_name": "DENISE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057004935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G. Gross, DO, PC (Deen-Gross Eye Centers)
• Shania Renee Davila, RBT
• Isabelle Davis
• Juatrice T Davis, BS
• Katelyn Davis
• Tiffany Davis
• Shawna Day
• Joshua De Leon, RBT
• Cheyenne De Los Santos, RBT
• Carolina Maria De Sevilla, MS, M.ED

• Occupational Therapy Assistant in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.