Active NPI
Christy Alane Davison, COTA/L
- Low Vision Occupational Therapy Assistant
- Tulsa, OK
National Provider Identifier
1356930432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapy Assistant
- License
- 553
- Practice address
- 6715 E 41St St
Tulsa, OK 74145-4520 - Phone
- (918) 806-0106
- NPI assigned
- Jan 13, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapy Assistant | 224ZE0001X | 553 | OK | |
| Feeding, Eating & Swallowing Occupational Therapy Assistant | 224ZF0002X | 553 | OK | |
| Low Vision Occupational Therapy Assistant | 224ZL0004X | 553 | OK | Primary |
Addresses
Primary practice location
6715 E 41St St
Tulsa, OK 74145-4520
Mailing address
4211 W Toledo CT
Broken Arrow, OK 74012-6043
Phone (918) 830-5040
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 |
|---|---|---|---|
| 553 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Therapy Resources, Inc. | Multi-Specialty | 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": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1356930432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 W TOLEDO CT",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740126043",
"telephone_number": "918-830-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6715 E 41ST ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741454520",
"telephone_number": "918-806-0106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVISON",
"first_name": "CHRISTY",
"middle_name": "ALANE",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "224ZE0001X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Environmental Modification",
"state": "OK",
"license": "553",
"primary": false
},
{
"code": "224ZF0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
"state": "OK",
"license": "553",
"primary": false
},
{
"code": "224ZL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Low Vision",
"state": "OK",
"license": "553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.