Danielle Rae Maddox, MOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

5416 Issued in OK

Practice address

1107 N Lusk Ave
Elk City, OK 73644-2450

NPI assigned

Sep 12, 2011

Last updated

Jun 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1225310667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 N LUSK AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442450",
            "telephone_number": "580-774-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N LUSK AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Elk City",
            "state": "OK",
            "postal_code": "736445145",
            "country_code": "US",
            "telephone_number": "580-774-9009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 N Lusk Ave",
            "address_purpose": "LOCATION",
            "city": "Elk City",
            "state": "OK",
            "postal_code": "736442450",
            "country_code": "US",
            "telephone_number": "580-774-9009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "DANIELLE",
        "middle_name": "RAE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "1168",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OK",
            "license": "5416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Lopez
• Benjamin Lundquist
• Christy Luttmer
• Sheila Anne Lynch
• Rae M Macias
• Shelby Maddox, MED
• Alecia Malson, C-CHW
• Kellie Renee Marshall
• Toni Martin
• Izabel Martinez, HAS

• Pediatric Occupational Therapist in Elk City, OK
• Providers in Elk City, OK by specialty
• Pediatric Occupational Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.