Hannah Davis, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Pulaski, TN

NPI 1558080333 · NPPES record last updated Aug 24, 2022

Key facts

NPI
1558080333
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
993 E College St
Pulaski, TN 38478-4432
Phone
(931) 231-6798
NPI assigned
Aug 24, 2022
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

993 E College St
Pulaski, TN 38478-4432

Mailing address

130 S Bradley Rd
Leoma, TN 38468-5388
Phone (931) 231-6798

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 24, 2022.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1558080333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S BRADLEY RD",
            "city": "LEOMA",
            "state": "TN",
            "postal_code": "384685388",
            "telephone_number": "931-231-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 E COLLEGE ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784432",
            "telephone_number": "931-231-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "HANNAH",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

All providers in Pulaski, TN · Occupational Therapy Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.