Individual provider Active NPI

Madeline Kelly, OTD

  • Occupational Therapist
  • Baton Rouge, LA
National Provider Identifier
1154092229
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
328576 Issued in LA
Practice address
7784 Innovation Park Dr
Baton Rouge, LA 70820-7006
Phone
(225) 343-4232
NPI assigned
Sep 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 328576 LA Primary

Addresses

Primary practice location

7784 Innovation Park Dr
Baton Rouge, LA 70820-7006

Mailing address

7784 Innovation Park Dr
Baton Rouge, LA 70820-7006
Phone (225) 343-4232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
328576LAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Speech and Hearing Foundation, Inc Occupational Therapist CurrentSince Oct 5, 2021 Accepting new patients

Locations

7784 Innovation Park Dr
Baton Rouge, LA 70820
Phone (225) 343-4232

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1154092229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7784 INNOVATION PARK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708207006",
            "telephone_number": "225-343-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7784 INNOVATION PARK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708207006",
            "telephone_number": "225-343-4232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MADELINE",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "328576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.