Active NPI
Madeline Harris, OTR/L
- Occupational Therapist
- Murfreesboro, TN
National Provider Identifier
1184039588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4802
- Practice address
- 3211 Memorial Blvd
Murfreesboro, TN 37129-5255 - Phone
- (615) 217-9909
- NPI assigned
- Jun 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4802 | TN | Primary |
Addresses
Primary practice location
3211 Memorial Blvd
Murfreesboro, TN 37129-5255
Mailing address
3211 Memorial Blvd
Murfreesboro, TN 37129-5255
Phone (615) 217-9909
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4802 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1184039588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3211 MEMORIAL BLVD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371295255",
"telephone_number": "615-217-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3211 MEMORIAL BLVD",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371295255",
"telephone_number": "615-217-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MADELINE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "4802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.