Active NPI
Cara Ann Davis, OTR/L
- Occupational Therapist
- Charlton, MA
National Provider Identifier
1356063010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14631
- Practice address
- 5 Hollywood Dr
Charlton, MA 01507-5353 - Phone
- (774) 272-1633
- NPI assigned
- Sep 19, 2022
- Last updated
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | 14631 | MA | |
| Pediatric Occupational Therapist | 225XP0200X | 14631 | MA | |
| Occupational Therapist | 225X00000X | 14631 | MA | Primary |
Addresses
Primary practice location
5 Hollywood Dr
Charlton, MA 01507-5353
Mailing address
5 Hollywood Dr
Charlton, MA 01507-5353
Phone (774) 272-1633
Other names 1
- Cara Ann Hennessy
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 |
|---|---|---|---|
| 14631 | MA | MD | Mental Health Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owl and Oak LLC | Occupational Therapist | Current | 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, 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": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1356063010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HOLLYWOOD DR",
"city": "CHARLTON",
"state": "MA",
"postal_code": "015075353",
"telephone_number": "774-272-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HOLLYWOOD DR",
"city": "CHARLTON",
"state": "MA",
"postal_code": "015075353",
"telephone_number": "774-272-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CARA",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "MA",
"license": "14631",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MA",
"license": "14631",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "14631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARA",
"last_name": "HENNESSY",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Charlton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.