Maddox Rehab LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MADDOX REHAB LLC

Practice address

8338 W Cherokee LN
Fairland, IN 46126-9684

Phone

(317) 945-2557

NPI assigned

Feb 24, 2019

Last updated

Feb 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kourtney MaddoxNPI 1568897775

Title

Owner

Phone

(317) 945-2557

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kourtney Maddox, OTR

  • Occupational Therapist
  • Indianapolis, IN
  • NPI 1568897775
  Authorized official Same address or phone

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550966400000",
    "number": "1316404536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 W CHEROKEE LN",
            "city": "FAIRLAND",
            "state": "IN",
            "postal_code": "461269684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 W CHEROKEE LN",
            "city": "FAIRLAND",
            "state": "IN",
            "postal_code": "461269684",
            "telephone_number": "317-945-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDOX REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-24",
        "last_updated": "2019-02-24",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "KOURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-945-2557"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Dillon, RN
• Ted W Grisell, MD
• Leah Jones, MS, OTR
• Maddox Rehabilitation Services
• Chloe Ionna May
• Moral Township
• Moral Township Volunteer Fire Department
• Northwestern Consol School Dist of Shelby County

• Occupational Therapist in Fairland, IN
• Providers in Fairland, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; 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.