Alexandra Nicole Davis, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT20662 Issued in FL

Practice address

18115 N US Highway 41
Lutz, FL 33549-6474

Phone

(813) 389-5301

NPI assigned

Feb 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family First Therapy Inc.

  • Speech-Language Pathologist
  • Lutz, FL
  • NPI 1760875678
  NPD (past)

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1710510284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35225 SAINT JOE RD",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335258162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18115 N US HIGHWAY 41",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335496474",
            "telephone_number": "813-389-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT20662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Datsko, CPM, LM
• Ky Dau, PA-C
• David Herson MD PA
• Arminda Davila
• Ariel Davis-Bridges
• Eddie Davis II
• Katie Davis
• Teresa Lynn Davis
• Xuan De la Torre, PA-C
• Danisbel De Pina Lopez, NEMT

• Occupational Therapist in Lutz, FL
• Providers in Lutz, FL by specialty
• Occupational Therapist in Florida

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