Active NPI
Nola Jean Rayson-Locke, O.T.
- Specialist
- Davenport, FL
National Provider Identifier
1942420997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT0686
- Practice address
- 152 Tigerlily Court
Suite 109
Davenport, FL 33836 - Phone
- (863) 430-6299
- Fax
- (863) 438-4345
- NPI assigned
- May 1, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | OT0686 | MS | Primary |
Addresses
Primary practice location
152 Tigerlily Court
Suite 109
Davenport, FL 33836
Mailing address
PO Box 2410
Davenport, FL 33836-2410
Phone (863) 430-6299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT0686 | Other | MS | OCCUPATIONAL THERAPIST |
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 |
|---|---|---|---|
| OT0686 | MS | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Expressions Rehabilitation Services | Past | Accepting new patients | |
| Therapeutic Exprexxions Rehab, Inc. | Specialist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Clarksdale, MS
- NPI 1669692620
-
- Occupational Medicine Clinic/Center
- Davenport, FL
- NPI 1326365990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276214400000",
"number": "1942420997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2410",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "338362410",
"telephone_number": "863-430-6299",
"fax_number": "863-438-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 TIGERLILY COURT",
"address_2": "SUITE 109",
"city": "DAVENPORT",
"state": "FL",
"postal_code": "33836",
"telephone_number": "863-430-6299",
"fax_number": "863-438-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYSON-LOCKE",
"first_name": "NOLA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2010-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MS",
"license": "OT0686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST",
"identifier": "OT0686",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davenport, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.