Individual provider Active NPI

Madeline Kirelawich, OTR/L

  • Occupational Therapist
  • Tucson, AZ
National Provider Identifier
1245732692
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5049 Issued in AZ
Practice address
1313 W Magee Rd
Tucson, AZ 85704-3326
Phone
(520) 797-2600
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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 5049 AZ Primary

Addresses

Primary practice location

1313 W Magee Rd
Tucson, AZ 85704-3326

Mailing address

1313 W Magee Rd
Tucson, AZ 85704-3326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922002853 FL Practitioner - Occupational Therapist in Private Practice 0648624759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

18600 Highwoods Preserve Pkwy
Tampa, FL 33647-1719
Phone (813) 379-9721

38130 Pretty Pond Rd
Zephyrhills, FL 33540-1419
Phone (813) 779-3780

414 E Chapman Rd
Lutz, FL 33549-5779
Phone (813) 333-1140

9070 SW 80TH Ave
Ocala, FL 34481-8905
Phone (352) 509-4033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5049AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services, Inc Occupational Therapist CurrentSince Aug 10, 2023 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Aug 10, 2023 Accepting new patients

Locations

2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654

9101 SW 24th St
Miami, FL 33165
Phone (305) 330-6698

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 2

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": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1245732692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 W MAGEE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W MAGEE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043326",
            "telephone_number": "520-797-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRELAWICH",
        "first_name": "MADELINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "5049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.