Andrew William Davie

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057001941 Issued in IL

Practice address

2401 W Main St
Marion, IL 62959-1188

Phone

(618) 993-4131

NPI assigned

Feb 24, 2023

Sex

Male

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 1

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": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1487353793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16450 NEW DENNISON RD",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596259",
            "telephone_number": "618-694-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W MAIN ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591188",
            "telephone_number": "618-993-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIE",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057001941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION",
            "identifier": "057001941",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Ann Dailey
• Stephanie Annette Dalton, MSW, LCSW
• Amber Rose Daly
• Paige Daly, BS
• Kevin R Darnell, D.C.
• Steven Davie
• Kathryn Ellen Davis, LCSW
• Kimberly Hope Davis, RN
• Ryan Davis
• Rachel Dawkins, LCSW

• Occupational Therapy Assistant in Marion, IL
• Providers in Marion, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.