Alyssa Marie Davis, MS, OTR/L
Individual provider Active NPI Occupational Therapist · Covington, TN
NPI 1508209719 · NPPES record last updated Apr 8, 2013
Key facts
- NPI
- 1508209719
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 4755 (TN)
- Practice address
- 765 Bert Johnston Ave
Covington, TN 38019-2414 - Phone
- (901) 475-0027
- NPI assigned
- Apr 8, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4755 | TN | MD | Professional Counselor |
| 10817 | MA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4755 | TN | Yes |
| Occupational Therapist | 225X00000X | 10817 | MA |
Addresses
Primary practice location
765 Bert Johnston Ave
Covington, TN 38019-2414
Mailing address
765 Bert Johnston Ave
Covington, TN 38019-2414
Phone (901) 475-0027
Other providers in Covington, TN
- Bob Dalsania
- Heather M Damons
- David N Park
- Mary Lon David
- Janice L Davidson
- Jourva Davis
- Nadine Moye Davis
- Elizabeth J Dawson
- Laura Newman Dawson
- Kali Decker
All providers in Covington, TN · Occupational Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.