Active NPI
Axel Edgardo Colon Padin, OTR/L
- Pediatric Occupational Therapist
- Clarksville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 6759
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncResults-Ast JV LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Current | Accepting new patients | |
| More Than Words Speech and Feeding Therapy, LLC | Current | Accepting new patients | |
| Legacy Healthcare Services Inc | Current | Accepting new patients | |
| Legacy Healthcare Services Inc | Current | 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.
-
- Physical Therapist
- Columbia, TN
- NPI 1093445884
-
- Speech-Language Pathologist
- Clarksville, TN
- NPI 1851635866
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Rehabilitation Clinic/Center
- Frankfort, KY
- NPI 1275084758
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.