Individual provider Active NPI

Wendy Christian Davis, OTR/L

  • Driving and Community Mobility Occupational Therapist
  • Southington, OH
National Provider Identifier
1376717173
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Driving and Community Mobility Occupational TherapistTaxonomy code 225XR0403X
License
02445 Issued in OH
Practice address
2728 Warren Burton Rd
Southington, OH 44470-9742
Phone
(330) 898-9147
Fax
(330) 898-9147
NPI assigned
Apr 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driving and Community Mobility Occupational Therapist 225XR0403X 02445 OH Primary

Addresses

Primary practice location

2728 Warren Burton Rd
Southington, OH 44470-9742

Mailing address

2728 Warren Burton Rd
Southington, OH 44470-9742
Phone (330) 898-9147

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
02445OHMDDriving and Community Mobility Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1376717173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 WARREN BURTON RD",
            "city": "SOUTHINGTON",
            "state": "OH",
            "postal_code": "444709742",
            "telephone_number": "330-898-9147",
            "fax_number": "330-898-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 WARREN BURTON RD",
            "city": "SOUTHINGTON",
            "state": "OH",
            "postal_code": "444709742",
            "telephone_number": "330-898-9147",
            "fax_number": "330-898-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WENDY",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "OH",
            "license": "02445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.