Madeline Grace Lanham, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

459460 Issued in KY

Practice address

15 Audubon Plaza Dr
Louisville, KY 40217-1371

Phone

(502) 636-2300

NPI assigned

Aug 21, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629504000000",
    "number": "1073289757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BRENTFORD DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402457010",
            "telephone_number": "502-974-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 AUDUBON PLAZA DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171371",
            "telephone_number": "502-636-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANHAM",
        "first_name": "MADELINE",
        "middle_name": "GRACE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-21",
        "last_updated": "2021-08-21",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "459460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darcy Ward Lanham
• Kathleen Tierney Lanham, MSN, APRN, NP-C
• Kathryn Lanham, OTR/L
• Lauren Lanham
• Lynne Lanham
• Mary Ceil Lanham, ARNP
• Morgan Lanham, OTR/L
• Remington Lanham
• Shawn M Lanham, LCSW, LCADC
• Nan Renee Lanier

• Occupational Therapy Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2021; 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.