ANDREA DAVIS – Occupational Therapist, NPI 1730443367

ANDREA DAVIS is a healthcare provider. based in Geneseo, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 056.006101 (IL). The NPI Number for ANDREA DAVIS is 1730443367

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA DAVIS
NPI
1730443367
Phone
(309) 944-6431
Address
600 N COLLEGE AVE
Enumeration Date
28 June 2012
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3099446447
Graduation Year
2000 (26 years ago)
PAC ID
4385636893
Group Practice PAC ID
9638087877
Professional Enrollment ID
I20040402000146
Address ID
IL612541990GE1225XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for ANDREA DAVIS

  • 600 N COLLEGE AVE

    GENESEO, IL 612541091

    Phone: (309) 944-6431

    Type: Mailing

  • 850 43RD AVE STE 100

    MOLINE, IL 612658401

    Phone: (309) 743-2070

    Fax: (309) 743-2073

    Type: Mailing

  • 1225 S OAKWOOD AVE STE 100

    GENESEO, IL 612541990

    Phone: (309) 944-6447

    Fax: (309) 944-6448

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040402000146IOccupational Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes56759$0
97140Therapy procedure using manual technique, each 15 minutes29749$0
97530Therapy procedure using functional activities22348$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes20337$0
97166Evaluation for occupational therapy, typically 45 minutes2624$0
View full utilization report →

Insurance plans in this area (ZIP 61254)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638087877View full group profile
NameSpecialtyState
-IA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIA

Reviews

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Frequently asked questions

Is there an official ID for ANDREA DAVIS in U.S. healthcare records?
The official identifier for ANDREA DAVIS is NPI 1730443367.
Is ANDREA DAVIS still an active registrant?
ANDREA DAVIS carries an active NPI according to the public dataset.
What clinical focus is listed for ANDREA DAVIS?
At a glance, ANDREA DAVIS is tied to Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is ANDREA DAVIS located near Geneseo?
ANDREA DAVIS currently maps to Geneseo, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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