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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Abigail Grace Cozart
- Charlotte L Daniels
- Thomas David Daniels
- Devonna Davis
- Gwendolyn Davis
- Holly Camille Davis
- Robyn Alexis Davis
- Della Mae Deventuri
- Dialysis Associates, LLC
- Pamela Ables Dockery
All providers in Pulaski, TN · Occupational Therapy Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2022. 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.