Individual provider Active NPI

Rose Davis Garner, MS OTR/L

  • Occupational Therapist
  • Vestavia, AL
National Provider Identifier
1659747343
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4033 Issued in AL
Practice address
3140 Cahaba Heights Rd
Suite 102
Vestavia, AL 35243-5243
Phone
(205) 969-8080
Fax
(205) 969-4884
NPI assigned
Aug 17, 2015
Last updated
Aug 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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 4033 AL Primary

Addresses

Primary practice location

3140 Cahaba Heights Rd
Suite 102
Vestavia, AL 35243-5243

Mailing address

3140 Cahaba Heights Rd
Suite 102
Vestavia, AL 35243-5243
Phone (205) 969-8080

Other names 1

  • Amelia Rose Davis Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4033ALMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1659747343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 CAHABA HEIGHTS RD",
            "address_2": "SUITE 102",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435243",
            "telephone_number": "205-969-8080",
            "fax_number": "205-969-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 CAHABA HEIGHTS RD",
            "address_2": "SUITE 102",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352435243",
            "telephone_number": "205-969-8080",
            "fax_number": "205-969-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "ROSE",
        "middle_name": "DAVIS",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "DAVIS",
            "middle_name": "ROSE",
            "credential": "MS OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.