Active NPI
Kristy Roberts Davis, OTR/L
- Occupational Therapist
- Corinth, ME
National Provider Identifier
1992012272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2785
- Practice address
- 565 Exeter Rd
Corinth, ME 04427-3040 - Phone
- (207) 478-2688
- NPI assigned
- Sep 8, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6268 | NC | |
| Occupational Therapist | 225X00000X | OT2785 | ME | Primary |
Addresses
Primary practice location
565 Exeter Rd
Corinth, ME 04427-3040
Mailing address
565 Exeter Rd
Corinth, ME 04427-3040
Other practice location 1
3303 HWY 70 East
New Bern, NC 28562
Phone (252) 229-2510
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 |
|---|---|---|---|
| OT2785 | ME | MD | Occupational Therapist |
| 6268 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1992012272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 EXETER RD",
"city": "CORINTH",
"state": "ME",
"postal_code": "044273040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 EXETER RD",
"city": "CORINTH",
"state": "ME",
"postal_code": "044273040",
"telephone_number": "207-478-2688"
}
],
"practiceLocations": [
{
"address_1": "3303 HWY 70 East",
"address_purpose": "LOCATION",
"city": "New Bern",
"state": "NC",
"postal_code": "28562",
"country_code": "US",
"telephone_number": "252-229-2510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "KRISTY",
"middle_name": "ROBERTS",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "6268",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "OT2785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corinth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.