Madelyn Rae Bedard, MOT, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

6302 Issued in CT

Practice address

915 Sullivan Ave Ste 3
South Windsor, CT 06074-2165

Phone

(860) 644-2335

NPI assigned

Jan 3, 2024

Last updated

Jan 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unified Therapy, LLC

  • Pediatric Physical Therapist
  • South Windsor, CT
  • NPI 1356884522

  Pediatrics

  NPD

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1629848338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 PROSPECT ST",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782017",
            "telephone_number": "860-709-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SULLIVAN AVE STE 3",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742165",
            "telephone_number": "860-644-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDARD",
        "first_name": "MADELYN",
        "middle_name": "RAE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "15116",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CT",
            "license": "6302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ball
• Barbara Emery Aprn, LLC
• Elizabeth Peters Bartholomew, L.P.C.
• Hannah Marie Bassett, CCC-SLP
• Katherine Beauregard, M.A., LPC, MT-BC
• Melissa Begley
• Jennifer Bellody
• Julianne Belsky, CPNP
• Koral Ben-Simon, APRN
• Benchmark Assisted Living LLC

• Pediatric Occupational Therapist in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Pediatric Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.