Madeline Kathleen Haff, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

197879 Issued in AK

Practice address

69 Beach Road
Haines, AK 99827

Phone

(907) 766-2101

Fax

(907) 766-2104

NPI assigned

Jan 1, 2018

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in AK

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Four Ravens Occupational Therapy LLCGroup PAC ID 9931482312, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Four Ravens Occupational Therapy LLC

  • Occupational Therapist
  • Haines, AK
  • NPI 1821407867
  Medicare reassignment Care Compare group NPD
• Four Ravens Occupational Therapy LLC

  • Occupational Therapist
  • Haines, AK
  • NPI 1639743370
  NPD

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1265949119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778",
            "city": "HAINES",
            "state": "AK",
            "postal_code": "998270778",
            "telephone_number": "907-766-2101",
            "fax_number": "907-766-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BEACH ROAD",
            "city": "HAINES",
            "state": "AK",
            "postal_code": "99827",
            "telephone_number": "907-766-2101",
            "fax_number": "907-766-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFF",
        "first_name": "MADELINE",
        "middle_name": "KATHLEEN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-01",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "197879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Four Ravens Occupational Therapy LLC
• Monique Octavia Frith
• Marie Rose Fudge
• Krystal R Gauley, LMT
• Claire Giordano
• Haines Assisted Living, Inc.
• Haines Borough (Haines Volunteer Fire Department)
• Marnie Hartman, P.T.
• Charles Richard Hazen, DDS
• Shori A Heaton, PDHA II

• Occupational Therapist in Haines, AK
• Providers in Haines, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.