Katherine Elizabeth Davis, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31005433A Issued in IN

Practice address

1007 Lincolnway
La Porte, IN 46350-3290

Phone

(219) 326-1234

NPI assigned

Apr 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Fitzgerald Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1699304907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S FIELDSTONE DR",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463506652",
            "telephone_number": "219-575-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 LINCOLNWAY",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503290",
            "telephone_number": "219-326-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 E Michigan Blvd",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463603189",
            "country_code": "US",
            "telephone_number": "219-879-6115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005433A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "FITZGERALD",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan G Cunningham, MD
• D G Reliable Anesthesia PC
• Dars Transportation
• Stephanie Daube, PT
• David S. Mendelowitz MD Surgery PC
• Christopher Demattio
• Diane Demeyer, COTA
• Dennis R Miller, OD
• Madeline Diedrich
• Dietitiancare, LLC

• Occupational Therapist in La Porte, IN
• Providers in La Porte, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.