Individual provider Active NPI

Cynthia Renee Davis, OTR

  • Occupational Therapist
  • Corvallis, OR
National Provider Identifier
1568508216
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1004708 Issued in OR
Practice address
441 NW Elks Dr
Corvallis, OR 97330-3744
Phone
(541) 768-4950
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1004708 OR Primary

Addresses

Primary practice location

441 NW Elks Dr
Corvallis, OR 97330-3744

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

815 NW 9th Street Suite180
Corvallis, OR 97330-6173
Phone (541) 768-5157

Other practice location 2

501 NW Elks Dr
Corvallis, OR 97330-3757
Phone (541) 768-7722

Other names 1

  • Cindy Renee Davis Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cdavis4477@samhealth.direct-ci.com

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: cdavis4477@samhealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1568508216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 NW ELKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303744",
            "telephone_number": "541-768-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 NW 9th Street Suite180",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973306173",
            "country_code": "US",
            "telephone_number": "541-768-5157",
            "fax_number": "541-768-5080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 NW Elks Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303757",
            "country_code": "US",
            "telephone_number": "541-768-7722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CYNTHIA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1004708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdavis4477@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "441 NW Elks Dr",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "DAVIS",
            "middle_name": "RENEE",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.