Individual provider Active NPI

Kelly Gabrielle Davis Posadas

  • Occupational Therapist
  • Mobile, AL
National Provider Identifier
1831540640
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4185 Issued in AL
Practice address
3301 Knollwood Dr
Medical Park BLDG. 4
Mobile, AL 36693-7003
Phone
(251) 662-2667
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 4185 AL Primary

Addresses

Primary practice location

3301 Knollwood Dr
Medical Park BLDG. 4
Mobile, AL 36693-7003

Mailing address

3617 Vista Ridge Drive
Mobile, AL 36693-2515
Phone (228) 372-4514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914001349 AL Practitioner - Occupational Therapist in Private Practice 9638465883 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc CurrentSince Jun 18, 2016 Accepting new patients
University of South Alabama CurrentSince Jan 1, 2019 Accepting new patients
Encore Rehabilitation, Inc. Occupational Therapist CurrentSince Jun 18, 2016 Accepting new patients
University of South Alabama Current Accepting new patients
University of South Alabama CurrentSince Jan 1, 2019 Accepting new patients
American Autism & Rehabilitation Center Inc Occupational Therapist Past Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405

1610 Center St
Ste B
Mobile, AL 36604
Phone (251) 415-1670

3301 Knollwood Dr
Bldg 4
Mobile, AL 36693
Phone (251) 662-2667

21862 State Highway 59 S
Robertsdale, AL 36567
Phone (251) 947-3410

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1831540640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 VISTA RIDGE DRIVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366932515",
            "telephone_number": "228-372-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 KNOLLWOOD DR",
            "address_2": "MEDICAL PARK BLDG. 4",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366937003",
            "telephone_number": "251-662-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSADAS",
        "first_name": "KELLY",
        "middle_name": "GABRIELLE DAVIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.

Verify at the official NPI Registry.