Nancy Davidson Purdy, OTR, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2610-026 Issued in WI

Practice address

515 22ND Ave
Monroe, WI 53566-1569

Phone

(608) 324-1178

Fax

(608) 324-1214

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Nancy Jean Davidson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912043183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 10TH AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661112",
            "telephone_number": "608-325-2591",
            "fax_number": "815-235-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "608-324-1178",
            "fax_number": "608-324-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "NANCY",
        "middle_name": "DAVIDSON",
        "credential": "OTR, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2610-026",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "DAVIDSON",
            "middle_name": "JEAN",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alicia Pittz, COTA
• Calli Plooster, PHARMD
• James C Pollock, MD
• Marcus Pribyl
• Shelbey M Puppe, CAPSW
• Kayla Rackow, PHARM.D.
• Sarah Ragan, M.A., LPC
• Amanda Sue Ramsey
• Kishor G Rana, MD
• Erik David Rasmuson, OTR

• Occupational Therapist in Monroe, WI
• Providers in Monroe, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.