Individual provider Active NPI

Madison Jo Zuber, OTR/L

  • Occupational Therapist
  • Evansville, IN
National Provider Identifier
1487270104
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31007058A Issued in IN
Practice address
225 Crosslake Dr
Evansville, IN 47715-8198
Phone
(812) 477-1558
Fax
(812) 474-2296
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 261911 KY
Occupational Therapist 225X00000X 31007058A IN Primary

Addresses

Primary practice location

225 Crosslake Dr
Evansville, IN 47715-8198

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005

Other names 1

  • Madison Jo Mundy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200817001124 KY Practitioner - Occupational Therapist in Private Practice 5597181990 Reassigns benefits to 1 organization
I20201022000441 IN Practitioner - Occupational Therapist in Private Practice 5597181990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedics-Indianapolis IncGroup PAC ID 7416860663, 357 clinicians
Prorehab IncGroup PAC ID 1254317217, 81 clinicians

Practice addresses (Care Compare)

225 Crosslake Dr
Evansville, IN 47715-8198
Phone (812) 477-1558

415 Crosslake Dr
Suite B
Evansville, IN 47715-8263
Phone (812) 476-0409

702 Barret Blvd
Henderson, KY 42420-4931
Phone (270) 631-4100

Merit-based Incentive Payment System (MIPS)

Final score
66.6 of 100Reported as group
Quality
60.71
Promoting interoperability
33
Improvement activities
40
Cost
83.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31007058AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Orthopaedic Surgeons, Inc. Occupational Therapist CurrentSince Oct 1, 2020 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. CurrentSince Oct 1, 2020 Accepting new patients
Prorehab Inc Occupational Therapist CurrentSince Oct 1, 2020 Accepting new patients
Prorehab Inc Occupational Therapist CurrentSince Oct 1, 2020 Accepting new patients
Orthopaedics-Indianapolis, Inc Occupational Therapist Current Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Current Accepting new patients
Orthopaedics-Indianapolis, Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

3070 Warrick Dr
Boonville, IN 47601
Phone (812) 431-0517

225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677

5625 Pearl Dr
Ste 100
Evansville, IN 47712
Phone (812) 759-7493

415 Crosslake Dr
Ste B
Evansville, IN 47715
Phone (812) 476-0764

5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800

8450 Northwest Blvd
Indianapolis, IN 46278

8887 High Pointe Dr
Ste E
Newburgh, IN 47630
Phone (812) 759-7464

2121 Willow St
Vincennes, IN 47591
Phone (812) 882-1141

702 Barret Blvd
Henderson, KY 42420
Phone (270) 631-4100

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

Organizations & group practices 8

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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1487270104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "fax_number": "812-590-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CROSSLAKE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477158198",
            "telephone_number": "812-477-1558",
            "fax_number": "812-474-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBER",
        "first_name": "MADISON",
        "middle_name": "JO",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "261911",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007058A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "MUNDY",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.