Active NPI
Rachel Davis
- Occupational Therapist
- Bend, OR
National Provider Identifier
1700434834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13873543-4201
- Practice address
- 1550 NE Williamson Blvd # 120
Bend, OR 97701-6071 - Phone
- (541) 640-5601
- NPI assigned
- Sep 2, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | OR | ||
| Occupational Therapist | 225X00000X | 13873543-4201 | UT | Primary |
Addresses
Primary practice location
1550 NE Williamson Blvd # 120
Bend, OR 97701-6071
Mailing address
21600 Oxnard St Ste 18000
Woodland Hills, CA 91367-4976
Phone (818) 345-2345
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Lakeview Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1235131137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1700434834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 OXNARD ST STE 18000",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913674976",
"telephone_number": "818-345-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 NE WILLIAMSON BLVD # 120",
"city": "BEND",
"state": "OR",
"postal_code": "977016071",
"telephone_number": "541-640-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-02",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "13873543-4201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.