Laurel B Davis, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT19133 Issued in CA

Practice address

1504 Applefield St
Newbury Park, CA 91320-5999

Phone

(703) 989-0737

NPI assigned

Sep 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Laurel B Haluska Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1477037778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 APPLEFIELD ST",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913205999",
            "telephone_number": "703-989-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 APPLEFIELD ST",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913205999",
            "telephone_number": "703-989-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAUREL",
        "middle_name": "B",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT19133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "OT19133",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT",
            "identifier": "402182",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "HALUSKA",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Perla Cruz
• Ryann Marie Cruz, NONE
• Nancy Ann Cumins, M.A., C.C.C./SLP
• Karen Theresa Cummings-Lilly, LCSW
• Dallas Sleep Services LLC
• Destiny De Alba, PT, DPT
• Jordyn C Defalco
• Amie Deitel, LMFT
• Jimmy Del Villar, NONE
• Sunnie Delano, RDN

• Occupational Therapist in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.