Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily Jean Davidson

Individual provider Occupational Therapist · NPI 1093403412

Emily Jean Davidson is an Occupational Therapist in Private Practice in Woodbury, Minnesota. Qualified in 2022, 4 years ago. Practices with Summit Orthopedics, Ltd, a 280-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2023
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Practice location Address checks out

2090 Woodwinds Dr Ste 100
Woodbury, MN 55125-2522
Phone: (651) 968-5201
Fax: (651) 968-5903
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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 107159 (MN)

Record details

NPI number1093403412
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2023
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Summit Orthopedics, Ltd — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Woodbury