Jordan Thomas Mader

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3293 Issued in CA

Practice address

7036 Grenville Rd
Tallahassee, FL 32309-9002

Phone

(850) 284-4346

NPI assigned

Apr 4, 2016

Last updated

Apr 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1093178287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7036 GRENVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323099002",
            "telephone_number": "850-284-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7036 GRENVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323099002",
            "telephone_number": "850-284-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADER",
        "first_name": "JORDAN",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Mackintosh
• Joni Mooney Macri, MSPT
• Nicodemo Macri, M.D.
• Frances Macvicar, RMHCI, MS, EDS
• Rebecca Maddox, PA-C
• Machelle Denine Madsen Thompson, PHD, LCSW
• Benjamin Thomas Madsen, DPT
• Charles H Madsen Jr., PHD
• Jordan Ashleigh Madsen
• Kathryn Ann Madsen, LCSW

• Occupational Therapy Assistant in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.