Madison Orthopedic Rehab

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MADISON ORTHOPEDIC REHAB

Practice address

219 Clifty Dr
Madison, IN 47250-1603

Phone

(812) 265-8228

Fax

(812) 265-8227

NPI assigned

Oct 25, 2018

Last updated

Nov 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Overpeck, DPTNPI 1629291877

Title

Owner

Phone

(812) 265-8226

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

All Kids Can Therapy Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• All Kids Can Therapy Services LLC

  • Behavior Analyst
  • Madison, IN
  • NPI 1992299739
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Marie Overpeck, PT, DPT

  • Pediatric Physical Therapist
  • Madison, IN
  • NPI 1629291877
  Authorized official Same address or phone

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574812800000",
    "number": "1043787294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501603",
            "telephone_number": "812-265-8228",
            "fax_number": "812-265-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 CLIFTY DR",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472501603",
            "telephone_number": "812-265-8228",
            "fax_number": "812-265-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON ORTHOPEDIC REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2019-11-27",
        "status": "A",
        "authorized_official_last_name": "OVERPECK",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-265-8226",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Madison",
            "affiliation": "N",
            "address_1": "219 Clifty Dr",
            "city": "Madison",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472501603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madison Direct Health
• Madison Eye Center LLC
• Madison Family Dentistry
• Madison Healthcare and Wellness Ctr. PC
• Madison Hearing Health, LLC
• Madison Pediatric Wellness Center
• Madison Specialty Center, LLC (George L Alcorn, M.D.)
• Sarah Leanne Mahoney, APRN
• Major Hospital (The Waters of Clifty Falls)
• Grace Alexandria Marshall-Slover, OTD, OTR/L

• Physical Therapy Clinic/Center in Madison, IN
• Providers in Madison, IN by specialty
• Physical Therapy Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.