Olivia Sarah Agen-Davis – Occupational Therapist

Key facts

NPI: 1972137370
Entity type: Individual (NPI type 1)
Primary specialty: Occupational Therapist 225X00000X
License: 09917 (MD)
Practice address: 1848 Reisterstown Rd
Pikesville, MD 21208-1379
Phone: (443) 360-5527
Fax: (877) 353-0384
NPI assigned: Feb 25, 2020
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Lea'S Place LLC Neurorehabilitation Occupational Therapist · Pikesville, MD · NPI 1649890633

Medicare reassignment NPD MD · OCCUPATIONAL THERAPIST

Medicare Care Compare profile

Specialty: Occupational Therapist in Private Practice
Education: Other, 2023
Medicare assignment: May accept Medicare assignment

Practice addresses (Care Compare)

6202 Gist Ave
Baltimore, MD 21215-3608

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MD

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20260219000815	MD	Practitioner - Occupational Therapist in Private Practice	9537649363	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
09917	MD	MD	Clinical Social Worker

Practice roles

Organization	Specialty	Status	New patients
Lea'S Place LLC	Occupational Therapist	Current since Dec 31, 2025	Accepting new patients

Locations

1848 Reisterstown Rd
Pikesville, MD 21208
Phone (443) 360-5527

1848 Reisterstown Rd
Ste A
Pikesville, MD 21208
Phone (410) 292-8725

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Occupational Therapist	225X00000X	09917	MD	Yes

Addresses

Primary practice location

1848 Reisterstown Rd
Pikesville, MD 21208-1379

Mailing address

1848 Reisterstown Rd
Pikesville, MD 21208-1379
Phone (443) 360-5527

Other providers in Pikesville, MD

All providers in Pikesville, MD · Occupational Therapist in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.