Individual provider Active NPI

Madeline Chatlain, OTR/L

  • Occupational Therapist
  • Bluffton, SC
National Provider Identifier
1780874685
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3298 Issued in SC
Practice address
29 Plantation Park Dr
Suite 502
Bluffton, SC 29910-9001
Phone
(843) 757-9292
Fax
(843) 757-9294
NPI assigned
Jul 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3298 SC Primary

Addresses

Primary practice location

29 Plantation Park Dr
Suite 502
Bluffton, SC 29910-9001

Mailing address

29 Plantation Park Dr
Suite 502
Bluffton, SC 29910-9001
Phone (843) 757-9292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000490 SC Practitioner - Occupational Therapist in Private Practice 5890887848 Practice locations: Bluffton, SC

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29 Plantation Park Dr
Suite 502
Bluffton, SC 29910-9005
Phone (843) 757-9292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3298SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hilton Head Occupational Therapy Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1780874685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR",
            "address_2": "SUITE 502",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109001",
            "telephone_number": "843-757-9292",
            "fax_number": "843-757-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 PLANTATION PARK DR",
            "address_2": "SUITE 502",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109001",
            "telephone_number": "843-757-9292",
            "fax_number": "843-757-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATLAIN",
        "first_name": "MADELINE",
        "name_prefix": "Dr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.