Madison Orthopedic Rehab
Organization Active NPI Physical Therapy Clinic/Center · Madison, IN
NPI 1043787294 · NPPES record last updated Nov 27, 2019
Key facts
- NPI
- 1043787294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Jacqueline Overpeck, DPT
- Title
- Owner
- Phone
- (812) 265-8226
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- All Kids Can Therapy Services LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
219 Clifty Dr
Madison, IN 47250-1603
Mailing address
219 Clifty Dr
Madison, IN 47250-1603
Phone (812) 265-8228
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300008207 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Madison |
Other providers in Madison, IN
- 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
- Sarah Leanne Mahoney
- Major Hospital
- Grace Alexandria Marshall-Slover
All providers in Madison, IN · Physical Therapy Clinic/Center in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.