Micah J Davids

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105887 Issued in MN

Practice address

230 Church Ave
Albany, MN 56307-9489

Phone

(320) 845-2195

NPI assigned

Aug 18, 2011

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centracare Clinic

  dba CentraCare Occupations Health

  • Occupational Medicine Clinic/Center
  • Saint Cloud, MN
  • NPI 1366192759
  NPD (past)
• Mother of Mercy

  dba Mother of Mercy Senior Living

  • Skilled Nursing Facility
  • Albany, MN
  • NPI 1104899939
  NPD (past)

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1992085245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CHURCH AVE",
            "city": "ALBANY",
            "state": "MN",
            "postal_code": "563079489",
            "telephone_number": "320-845-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CHURCH AVE",
            "city": "ALBANY",
            "state": "MN",
            "postal_code": "563079489",
            "telephone_number": "320-845-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDS",
        "first_name": "MICAH",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cold Spring Apothecary, Inc.
• Katrina Coppicus, OTR
• Steven Crooks
• Dana Crumley, PHARM D
• Cura Physical Therapy and Massage
• Jacqueline Ann Deters, RD, IBCLC
• Cheyanne Hope Duckson
• Ease Mobile Anesthesia LLC
• Sherry Ann Eveslage, PT
• Charlene Ann Gerner, PA

• Occupational Therapist in Albany, MN
• Providers in Albany, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.