Diane Kelly Davis

Individual provider Occupational Therapist · NPI 1932767928

Diane Kelly Davis is an Occupational Therapist in Private Practice in Burgess, Virginia. Qualified in 2019, 7 years ago. Practices with For the Ages Rehabilitation LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying: 7
Licensed in: VA
In the registry since: 2019

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Practice location Address checks out

1026 Jessie Dupont Memorial Hwy
Burgess, VA 22432-2038
Phone: (804) 220-2010
Fax: (804) 299-4061

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary)	Taxonomy 225X00000X · Licence 0119008183 (VA)

Record details

NPI number	1932767928
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	June 4, 2019
Last updated in NPPES	June 10, 2025
Certification date	June 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical school	OTHER
Graduated	2019 (7 years in practice)
Group practice	For The Ages Rehabilitation Llc — 3 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount