Active NPI
Kelly Davies
- Occupational Therapist
- Mesa, AZ
National Provider Identifier
1770061269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5404
- Practice address
- 737 W Guadalupe Rd Ste 111
Mesa, AZ 85210-7716 - Phone
- (480) 259-7788
- NPI assigned
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5404 | AZ | Primary |
Addresses
Primary practice location
737 W Guadalupe Rd Ste 111
Mesa, AZ 85210-7716
Mailing address
737 W Guadalupe Rd Ste 111
Mesa, AZ 85210-7716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5404 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1770061269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 W GUADALUPE RD STE 111",
"city": "MESA",
"state": "AZ",
"postal_code": "852107716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 W GUADALUPE RD STE 111",
"city": "MESA",
"state": "AZ",
"postal_code": "852107716",
"telephone_number": "480-259-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIES",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "5404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.