Individual provider Active NPI

Axel Edgardo Colon Padin, OTR/L

  • Pediatric Occupational Therapist
  • Clarksville, TN
National Provider Identifier
1770169658
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
6759 Issued in TN
Practice address
2197 Madison St Ste 106
Clarksville, TN 37043-5253
Phone
(931) 503-1700
NPI assigned
Mar 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 6759 TN Primary

Addresses

Primary practice location

2197 Madison St Ste 106
Clarksville, TN 37043-5253

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

215 Dunbar Cave Rd Ste A
Clarksville, TN 37043-8850
Phone (831) 333-6148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250307001908 TN Practitioner - Occupational Therapist in Private Practice 7517488406 Reassigns benefits to 3 organizations
I20250313001607 KY Practitioner - Occupational Therapist in Private Practice 7517488406 Reassigns benefits to 1 organization

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
Legacy Healthcare Services Inc 3,431 clinicians
Results-Ast JV LLC 390 clinicians

Practice addresses (Care Compare)

1595 Marie Dr
Hopkinsville, KY 42240-4903
Phone (270) 632-1277

207 Uffelman Dr
Clarksville, TN 37043-2909
Phone (931) 444-1980

2197 Madison St
Suite 106
Clarksville, TN 37043-5253
Phone (931) 503-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc CurrentSince Feb 10, 2025 Accepting new patients
More Than Words Speech and Feeding Therapy, LLC CurrentSince Oct 8, 2023 Accepting new patients
Legacy Healthcare Services Inc CurrentSince Feb 10, 2025 Accepting new patients
Legacy Healthcare Services Inc CurrentSince Feb 10, 2025 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

1595 Marie Dr
Hopkinsville, KY 42240
Phone (270) 632-1277

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

215 Dunbar Cave Rd
Ste A
Clarksville, TN 37043
Phone (800) 920-0834

207 Uffelman Dr
Clarksville, TN 37043
Phone (931) 444-1980

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1770169658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2197 MADISON ST STE 106",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435253",
            "telephone_number": "931-503-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Dunbar Cave Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370438850",
            "country_code": "US",
            "telephone_number": "831-333-6148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON PADIN",
        "first_name": "AXEL",
        "middle_name": "EDGARDO",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "6759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.