Laura Rose Davidge, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4031 Issued in SC

Practice address

7 S Alliance Dr
Suite 102 a
Goose Creek, SC 29445-7269

Phone

(843) 569-2303

Fax

(843) 569-2304

NPI assigned

Dec 12, 2012

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

Enrolled in MA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MK Rehabilitation, LLCGroup PAC ID 7416975388, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• MK Rehabilitation, LLC

  • Rehabilitation Practitioner
  • Franklin, MA
  • NPI 1548387897
  Medicare reassignment Care Compare group
• Fox Rehab Ma LLC

  • Physical Therapist
  • Waltham, MA
  • NPI 1497174437

  Occupational Therapist

  NPD
• Proactive Therapy of South Carolina Inc

  • Rehabilitation Clinic/Center
  • Mount Pleasant, SC
  • NPI 1164057048
  NPD (past)
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1730425166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 S ALLIANCE DR",
            "address_2": "SUITE 102 A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457269",
            "telephone_number": "843-569-2303",
            "fax_number": "843-569-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 S ALLIANCE DR",
            "address_2": "SUITE 102 A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457269",
            "telephone_number": "843-569-2303",
            "fax_number": "843-569-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDGE",
        "first_name": "LAURA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Lynn Darling, DPT
• Andrew T Darrah, PA-C
• Aiyorla Dash, RN
• David L. Olson, DMD, PA
• David Scibek
• Sandy M Davidson, LISW-CP
• Dawn Bernice Davis, PSY.D
• Kim-Oanh H. Davis, MASTERS DEGREE
• Sharifer Davis, LMSW
• Sheryl L. Davis, PTA

• Occupational Therapist in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.