Active NPI
Madison Victoria Harris, OTR/L
- Occupational Therapist
- Ozark, AL
National Provider Identifier
1790431732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 468381
- Practice address
- 193 Sam Lisenby Rd
Ozark, AL 36360-3048 - Phone
- (334) 445-6336
- NPI assigned
- Feb 28, 2022
- Last updated
- Feb 28, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 468381 | Primary |
Addresses
Primary practice location
193 Sam Lisenby Rd
Ozark, AL 36360-3048
Mailing address
1340 Georgiana Hwy
Brantley, AL 36009-4429
Phone (334) 804-2960
Other names 1
- Mrs. Madison Harris Mitchell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumlar Therapy Service, Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
193 Sam Lisenby Rd
Ozark, AL 36360
Phone (334) 445-6336
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1790431732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 GEORGIANA HWY",
"city": "BRANTLEY",
"state": "AL",
"postal_code": "360094429",
"telephone_number": "334-804-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 SAM LISENBY RD",
"city": "OZARK",
"state": "AL",
"postal_code": "363603048",
"telephone_number": "334-445-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MADISON",
"middle_name": "VICTORIA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "468381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADISON",
"last_name": "MITCHELL",
"middle_name": "HARRIS",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ozark, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.