Individual provider Active NPI

Christy Alane Davison, COTA/L

  • Low Vision Occupational Therapy Assistant
  • Tulsa, OK
National Provider Identifier
1356930432
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Occupational Therapy AssistantTaxonomy code 224ZL0004X
License
553 Issued in OK
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

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapy Assistant 224ZE0001X 553 OK
Feeding, Eating & Swallowing Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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

LicenseStateTypeSpecialty
553OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Therapy Resources, Inc. Multi-Specialty PastSince Jan 17, 2021 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.

Verify at the official NPI Registry.