NPIMap

Eden Rae Davis, OTD, OTR/L

Individual provider Active NPI Occupational Therapist · Billings, MT

NPI 1497550859 · NPPES record last updated Feb 18, 2025

Key facts

NPI
1497550859
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTP-OT-LIC-11651 (MT)
Practice address
1601 Lewis Ave Ste 107
Billings, MT 59102-4182
Phone
(406) 647-0042
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTP-OT-LIC-11651MTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valkryie Fitness and Rehab LLC Occupational Therapist Current
since Apr 16, 2023		 Accepting new patients

Locations

1601 Lewis Ave
Ste 107
Billings, MT 59102
Phone (406) 647-0042

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTP-OT-LIC-11651 MT Yes

Addresses

Primary practice location

1601 Lewis Ave Ste 107
Billings, MT 59102-4182

Mailing address

1601 Lewis Ave Ste 107
Billings, MT 59102-4182
Phone (406) 647-0042

Other names

  • Eden Rae Gramm Former name

Other providers in Billings, MT

All providers in Billings, MT · Occupational Therapist in Montana

Sources for this page

Verify at the official NPI Registry.