Jennifer Ashley Davis, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131002711 Issued in VA

Practice address

11200 Waples Mill Rd Ste 100
Fairfax, VA 22030-7475

Phone

(703) 237-2219

Fax

(703) 237-2729

NPI assigned

Aug 12, 2022

Last updated

Nov 25, 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 3

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

• Axiom Link, Inc.

  dba Achieve Beyond

  • Rehabilitation Clinic/Center
  • Fairfax, VA
  • NPI 1174852867
  NPD (past)

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1740918127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 LOGAN CT",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103120",
            "telephone_number": "936-465-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 WAPLES MILL RD STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307475",
            "telephone_number": "703-237-2219",
            "fax_number": "703-237-2729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Pennsylvania Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200033027",
            "country_code": "US",
            "telephone_number": "202-544-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "217155",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "DC",
            "license": "OTA200001245",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131002711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine M Davis, CRNA
• Cynthia Davis
• Danyelle Nicole Davis, ACNP-BC
• Erin Mae Davis, DO
• Hugh Parker Davis
• Jennifer Smith Davis, LCSW
• Kaye E Davis, MD
• Lamarcus Davis, CSA
• Marc Patrick Davis, MSW, MT-BC
• Margaret Davis, M.D.

• Occupational Therapy Assistant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.