Individual provider Active NPI

Ashley Madajczyk, COTA/L

  • Occupational Therapy Assistant
  • Merrillville, IN
National Provider Identifier
1497204689
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
32003086A Issued in IN
Practice address
7250 Arthur Blvd
Merrillville, IN 46410-3766
Phone
(219) 649-7445
Fax
(219) 649-7446
NPI assigned
Sep 28, 2016
Last updated
Sep 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32003086A IN Primary
Occupational Therapy Assistant 224Z00000X 057003874 IL

Addresses

Primary practice location

7250 Arthur Blvd
Merrillville, IN 46410-3766

Mailing address

7250 Arthur Blvd
Merrillville, IN 46410-3766
Phone (219) 649-7445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
057003874ILMDOccupational Therapy Assistant
32003086AINMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1497204689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 ARTHUR BLVD",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103766",
            "telephone_number": "219-649-7445",
            "fax_number": "219-649-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 ARTHUR BLVD",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103766",
            "telephone_number": "219-649-7445",
            "fax_number": "219-649-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAJCZYK",
        "first_name": "ASHLEY",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32003086A",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057003874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.