Individual provider Active NPI

Hayley Davis, OTD/L, CPAM

  • Occupational Therapist
  • Chattanooga, TN
National Provider Identifier
1477207223
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6307 Issued in TN
Practice address
632 Morrison Springs Rd Ste 302
Chattanooga, TN 37415-3402
Phone
(423) 842-9322
NPI assigned
Feb 10, 2022
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6307 TN Primary

Addresses

Primary practice location

632 Morrison Springs Rd Ste 302
Chattanooga, TN 37415-3402

Mailing address

1463 Market St Ste 104
Chattanooga, TN 37402-4465
Phone (423) 842-9322

Other practice location 1

9380 Bradmore Ln Ste 100
Ooltewah, TN 37363-4435
Phone (423) 842-9322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712001889 TN Practitioner - Occupational Therapist in Private Practice 3173903838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Physical Therapy, LLCGroup PAC ID 5799840211, 24 clinicians

Practice addresses (Care Compare)

4109 Mountain View Ave
Suite 200
Chattanooga, TN 37415-2096
Phone (423) 842-9322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy, LLC CurrentSince Mar 26, 2022 Accepting new patients
Summit Physical Therapy Past Accepting new patients

Locations

1463 Market St
Ste 104
Chattanooga, TN 37402

4109 Mountain View Ave
Ste 100
Chattanooga, TN 37415

632 Morrison Springs Rd
Ste 302
Chattanooga, TN 37415
Phone (423) 661-3255

1790 Hamill Rd
Hixson, TN 37343
Phone (423) 362-4381

9380 Bradmore Ln
Ste 100
Ooltewah, TN 37363
Phone (423) 661-3246

4109 Mountain View Ave
Ste 200
Red Bank, TN 37415
Phone (423) 877-5817

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1477207223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 MARKET ST STE 104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374024465",
            "telephone_number": "423-842-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MORRISON SPRINGS RD STE 302",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153402",
            "telephone_number": "423-842-9322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9380 Bradmore Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ooltewah",
            "state": "TN",
            "postal_code": "373634435",
            "country_code": "US",
            "telephone_number": "423-842-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HAYLEY",
        "credential": "OTD/L, CPAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.