Active NPI
Angela Denise Davidson, OTR
- Occupational Therapist
- Delta, CO
National Provider Identifier
1598095689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 617
- Practice address
- 5584 Sunridge Dr
Delta, CO 81416-9449 - Phone
- (970) 216-8135
- NPI assigned
- Jan 12, 2010
- Last updated
- Jan 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 617 | CO | Primary |
Addresses
Primary practice location
5584 Sunridge Dr
Delta, CO 81416-9449
Mailing address
5584 Sunridge Dr
Delta, CO 81416-9449
Phone (970) 216-8135
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 617 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263254400000",
"number": "1598095689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5584 SUNRIDGE DR",
"city": "DELTA",
"state": "CO",
"postal_code": "814169449",
"telephone_number": "970-216-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5584 SUNRIDGE DR",
"city": "DELTA",
"state": "CO",
"postal_code": "814169449",
"telephone_number": "970-216-8135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "ANGELA",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2010-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.