Madison Lynn Martin
Individual provider Active NPI Occupational Therapist · Stephenson, MI
NPI 1619706801 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1619706801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 868026 (WI)
- Practice address
- S926 US Highway 41
Stephenson, MI 49887-8808 - Phone
- (906) 753-4893
- NPI assigned
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 868026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Medical Center Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 868026 | WI | Yes |
Addresses
Primary practice location
S926 US Highway 41
Stephenson, MI 49887-8808
Mailing address
W1715 Maple Hill LN
Marinette, WI 54143-9483
Phone (715) 923-8334
Other providers in Stephenson, MI
- Vernette Marie Carlson
- Renee Haberland
- Margaret Eva Jolene Kelbach
- Sheila M Konkel
- Tracy Lynn Lacanne
- Mid-County Rescue Squad, Inc.
- Sheila Ann Parrett
- Roubal'S Nursing Home, Inc.
- Danielle Thoune
- Merlin Robert Zelm
All providers in Stephenson, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.