Individual provider Active NPI

Katherine Jo Davis, OTR/L

  • Occupational Therapist
  • Ebensburg, PA
National Provider Identifier
1710318985
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC007299L Issued in PA
Practice address
290 Jamesway Rd
Ebensburg, PA 15931-4207
Phone
(814) 472-4921
Fax
(814) 472-4950
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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 OC007299L PA Primary

Addresses

Primary practice location

290 Jamesway Rd
Ebensburg, PA 15931-4207

Mailing address

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Other names 1

  • Katherine Jo Marsh Other 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

State licenses

LicenseStateTypeSpecialty
OC007299LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Physical Therapy & Rehabilitation, Inc. Occupational Therapist PastSince Jan 1, 2013 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.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1710318985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 BLOOMFIELD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043271",
            "telephone_number": "814-269-2224",
            "fax_number": "814-269-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 JAMESWAY RD",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314207",
            "telephone_number": "814-472-4921",
            "fax_number": "814-472-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KATHERINE",
        "middle_name": "JO",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC007299L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MARSH",
            "middle_name": "JO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.