Individual provider Active NPI

Handley Davis Ray, OTD

  • Occupational Therapist
  • Newnan, GA
National Provider Identifier
1740014596
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
285 Summerlin Blvd
Newnan, GA 30265-6299
Phone
(678) 990-8918
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 Primary

Addresses

Primary practice location

285 Summerlin Blvd
Newnan, GA 30265-6299

Mailing address

380 Terry Creek Cir
Manchester, GA 31816-5843
Phone (706) 975-4737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250220003348 GA Practitioner - Occupational Therapist in Private Practice 4587184502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neu-Level Therapy and Wellness LLCGroup PAC ID 5496161382, 4 clinicians

Practice addresses (Care Compare)

100 Millbrook Village Dr
Suite C
Tyrone, GA 30290-3603
Phone (678) 545-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neu-Level Therapy and Wellness, LLC Occupational Therapist CurrentSince Nov 13, 2024 Accepting new patients
Select Rehabilitation, LLC Occupational Therapist PastSince May 6, 2022 Accepting new patients

Locations

100 Millbrook Village Dr
Ste C
Tyrone, GA 30290
Phone (678) 364-9412

Organizations & group practices 2

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1740014596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 TERRY CREEK CIR",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "318165843",
            "telephone_number": "706-975-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 SUMMERLIN BLVD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656299",
            "telephone_number": "678-990-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "HANDLEY",
        "middle_name": "DAVIS",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.