Active NPI
Tiffany Kusi-Davies, OTR/L
- Occupational Therapist
- Fort Washington, MD
National Provider Identifier
1821452632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 07100
- Practice address
- 1578 Potomac Heights Dr
Fort Washington, MD 20744-4662 - Phone
- (301) 803-0019
- NPI assigned
- Apr 7, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 07100 | MD | Primary |
Addresses
Primary practice location
1578 Potomac Heights Dr
Fort Washington, MD 20744-4662
Mailing address
1578 Potomac Heights Dr
Fort Washington, MD 20744-4662
Phone (301) 803-0019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190125001830 | DC | Practitioner - Occupational Therapist in Private Practice | 9830436245 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07100 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services LLC | Occupational Therapist | Current | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 1
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.
-
- Physical Therapist
- Winchester, VA
- NPI 1609814755
DC, Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1821452632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1578 POTOMAC HEIGHTS DR",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444662",
"telephone_number": "301-803-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1578 POTOMAC HEIGHTS DR",
"city": "FORT WASHINGTON",
"state": "MD",
"postal_code": "207444662",
"telephone_number": "301-803-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSI-DAVIES",
"first_name": "TIFFANY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.