Individual provider Active NPI

Colette Alaine Davison, OT

  • Occupational Therapist
  • Greenfield, IN
National Provider Identifier
1891928594
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31004671A Issued in IN
Practice address
1834 Fields Blvd
Greenfield, IN 46140
Phone
(317) 527-5437
Fax
(317) 318-1356
NPI assigned
Aug 27, 2009
Last updated
Dec 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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 31004671A IN Primary

Addresses

Primary practice location

1834 Fields Blvd
Greenfield, IN 46140

Mailing address

1834 Fields Blvd
Greenfield, IN 46140-3029
Phone (317) 527-5437

Other practice location 1

27240 Haggerty Rd
Suite E15
Farmington Hills, MI 48331-5716
Phone (248) 488-0350

Other practice location 2

10 Coronado Rd
Indianapolis, IN 46234-2526
Phone (317) 527-5437

Other practice location 3

2004 1/2 S Memorial Dr
New Castle, IN 47362-1220
Phone (317) 527-5437

Other practice location 4

1722 W 16th St
Indianapolis, IN 46202-2031
Phone (317) 527-5437

Other practice location 5

2519 E 10th St Ste A
Anderson, IN 46012-4464
Phone (317) 527-5437

Other names 1

  • Colette Alaine Medlin Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
31004671AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy and Behavior Services, LLC Occupational Therapist CurrentSince Dec 9, 2019 Accepting new patients

Locations

2519 E 10th St
Ste A
Anderson, IN 46012
Phone (317) 527-5437

1834 Fields Blvd
Greenfield, IN 46140
Phone (317) 462-5358

10 Coronado Rd
Indianapolis, IN 46234
Phone (317) 527-5437

1722 W 16th St
Indianapolis, IN 46202
Phone (317) 527-5437

2004 S Memorial Dr
New Castle, IN 47362
Phone (317) 527-5437

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, 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": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1891928594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 FIELDS BLVD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461403029",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 FIELDS BLVD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "46140",
            "telephone_number": "317-527-5437",
            "fax_number": "317-318-1356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27240 Haggerty Rd",
            "address_2": "Suite E15",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483315716",
            "country_code": "US",
            "telephone_number": "248-488-0350",
            "fax_number": "248-488-0355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Coronado Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462342526",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 1/2 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473621220",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1722 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022031",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2519 E 10th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460124464",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVISON",
        "first_name": "COLETTE",
        "middle_name": "ALAINE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31004671A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLETTE",
            "last_name": "MEDLIN",
            "middle_name": "ALAINE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.