Active NPI
Victoria Davis, OTR/L
- Occupational Therapist
- Pensacola, FL
National Provider Identifier
1962984070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 19480
- Practice address
- 8475 University Pkwy
Pensacola, FL 32514-4917 - Phone
- (850) 474-1252
- NPI assigned
- Sep 5, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 19480 | FL | Primary |
Addresses
Primary practice location
8475 University Pkwy
Pensacola, FL 32514-4917
Mailing address
4887 Legacy St
Milton, FL 32570-7989
Phone (850) 348-6153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19480 | Other | FL | OCCUPATIONAL THERAPY LICENSE |
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 |
|---|---|---|---|
| 19480 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1962984070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4887 LEGACY ST",
"city": "MILTON",
"state": "FL",
"postal_code": "325707989",
"telephone_number": "850-348-6153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8475 UNIVERSITY PKWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325144917",
"telephone_number": "850-474-1252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "VICTORIA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "19480",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE",
"identifier": "19480",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.