Charity Sue Davis, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4770445-4201 Issued in UT

Practice address

3476 W 4600 S
West Haven, UT 84401-9203

Phone

(801) 689-0200

Fax

(801) 689-0201

NPI assigned

Jul 3, 2006

Last updated

Dec 27, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Physical Therapy, Inc.Group PAC ID 2163676735, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Utah Physical Therapy, Inc.

  dba Spine and Sports

  • Physical Therapist
  • West Haven, UT
  • NPI 1487998431
  Medicare reassignment Care Compare group
• Home Freedom LLC

  • Occupational Therapist
  • West Haven, UT
  • NPI 1245307313
  NPD (past) Authorized official
• Total Rehab, Inc.

  • Physical Therapist
  • Brigham City, UT
  • NPI 1801079439
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1720018294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "HOOPER",
            "state": "UT",
            "postal_code": "843150066",
            "telephone_number": "801-689-0200",
            "fax_number": "801-689-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3476 W 4600 S",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019203",
            "telephone_number": "801-689-0200",
            "fax_number": "801-689-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5957 Fashion Point Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "South Ogden",
            "state": "UT",
            "postal_code": "844035180",
            "country_code": "US",
            "telephone_number": "801-827-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1741 N 2000 W",
            "address_purpose": "LOCATION",
            "city": "Farr West",
            "state": "UT",
            "postal_code": "844049810",
            "country_code": "US",
            "telephone_number": "801-827-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 W 50 S",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "UT",
            "postal_code": "840142376",
            "country_code": "US",
            "telephone_number": "801-827-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHARITY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "4770445-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Changepoint Counseling, LLC
• Cody Morgan Medical LLC
• Tyler Combe, PT
• Caron Jane Cordes, BCBA, LBA
• Kristi Daniels, ACMHC
• Kacie Dickson
• Mikayla Ray Drago
• Elizabeth Embury, DPT
• Jennifer Diane Fanelli, RN
• Dawn M Fielding, CRT

• Occupational Therapist in West Haven, UT
• Providers in West Haven, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.