NPIMap

Organization Active NPI

Pediatric Therapy Link of North Alabama, LLC

  • Rehabilitation Clinic/Center
  • Madison, AL
National Provider Identifier
1447448550
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
2306 Issued in AL
Legal business name
PEDIATRIC THERAPY LINK OF NORTH ALABAMA, LLC
Practice address
8331 Madison Blvd
Ste 300
Madison, AL 35758-2073
Phone
(256) 883-7338
Fax
(256) 883-7135
NPI assigned
Oct 15, 2007
Last updated
Mar 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Ms. Mary Therese Mayhan, MS, OTRLNPI 1104020080
Title
Owner/Occupational Therapist
Phone
(256) 883-7338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 2306 AL Primary

Addresses

Primary practice location

8331 Madison Blvd
Ste 300
Madison, AL 35758-2073

Mailing address

8331 Madison Blvd
Ste 300
Madison, AL 35758-2073
Phone (256) 883-7338

Other identifiers 3

IdentifierTypeStateIssuer
51523367OtherALBLUE CROSS BLUE SHIELD
125125MedicaidAL
51523367OtherALBCBSAL

National Provider Directory

National Provider Directory

Locations

8331 Madison Blvd
Ste 300
Madison, AL 35758
Phone (256) 705-3000

97 Hughes Rd
Ste H
Madison, AL 35758
Phone (256) 298-9832

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1447448550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 MADISON BLVD",
            "address_2": "STE 300",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582073",
            "telephone_number": "256-883-7338",
            "fax_number": "256-883-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8331 MADISON BLVD",
            "address_2": "STE 300",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582073",
            "telephone_number": "256-883-7338",
            "fax_number": "256-883-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY LINK OF NORTH ALABAMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "MAYHAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "256-883-7338",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, OTRL"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "AL",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51523367",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125125",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL",
            "identifier": "51523367",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.