Mary Davis, OT

Primary specialty

SpecialistTaxonomy code 174400000X

License

4415 Issued in TN

Practice address

3074 Hickory Valley Rd
Chattanooga, TN 37421-1265

Phone

(423) 622-1551

Fax

(423) 622-1556

NPI assigned

Jul 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Garrison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Stellar Medical Services, LLC

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1316433238
  NPD (past)
• Stellartherapy Services, LLC

  • Speech-Language Pathologist
  • Chattanooga, TN
  • NPI 1205041811
  NPD (past)

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1487941951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374140114",
            "telephone_number": "423-622-1551",
            "fax_number": "423-622-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 HICKORY VALLEY RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211265",
            "telephone_number": "423-622-1551",
            "fax_number": "423-622-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "4415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GARRISON",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karrie L Davis, NP
• Kristy Davis, FNP-C
• Laura Davis, CRNA
• Leslie Susan Davis, LPC-MHSP
• Locke H Davis, CPO
• Mary Carla Davis, LCSW
• Michael G Davis, MD
• Rachel Davis, FNP-C
• Rachel Katherine Davis
• Rachel Sierra Davis, MS, TEMP LPC/MHSP

• Specialist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.