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
- 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 | 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 and National Provider Directory roles.
-
- Occupational Therapist
- Charlton, MA
- NPI 1013621580
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.