Active NPI
Joan Marie Mainville-Davis, OT
- Pediatric Occupational Therapist
- Twinsburg, OH
National Provider Identifier
1871937169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT.008336-LTD
- Practice address
- 2132 Case Pkwy
Twinsburg, OH 44087-4300 - Phone
- (330) 963-8600
- Fax
- (330) 963-8680
- NPI assigned
- Apr 17, 2013
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT.008336-LTD | OH | Primary |
Addresses
Primary practice location
2132 Case Pkwy
Twinsburg, OH 44087-4300
Mailing address
2132 Case Pkwy
Twinsburg, OH 44087-4300
Phone (330) 963-8600
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 |
|---|---|---|---|
| OT.008336-LTD | OH | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1871937169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2132 CASE PKWY",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440874300",
"telephone_number": "330-963-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2132 CASE PKWY",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440874300",
"telephone_number": "330-963-8600",
"fax_number": "330-963-8680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINVILLE-DAVIS",
"first_name": "JOAN",
"middle_name": "MARIE",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-17",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OH",
"license": "OT.008336-LTD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Twinsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.