Individual provider Active NPI

Ashley D Davis, COTA

  • Occupational Therapy Assistant
  • McAllen, TX
National Provider Identifier
1346510666
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
77469 Issued in TX
Practice address
1005 E Nolana Loop
Ste C
McAllen, TX 78504-6101
Phone
(956) 630-6300
Fax
(956) 630-3443
NPI assigned
Jan 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 77469 TX Primary

Addresses

Primary practice location

1005 E Nolana Loop
Ste C
McAllen, TX 78504-6101

Mailing address

1005 E Nolana Loop
Ste C
McAllen, TX 78504-6101
Phone (956) 630-6300

Other identifiers 1

IdentifierTypeStateIssuer
167033301MedicaidTX

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

LicenseStateTypeSpecialty
77469TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Leaps & Bounds Pediatric Rehabilitation Center, Inc. Occupational Therapy Assistant Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1346510666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 E NOLANA LOOP",
            "address_2": "STE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046101",
            "telephone_number": "956-630-6300",
            "fax_number": "956-630-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 E NOLANA LOOP",
            "address_2": "STE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046101",
            "telephone_number": "956-630-6300",
            "fax_number": "956-630-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ASHLEY",
        "middle_name": "D",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "77469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167033301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.