Madisen Bang
Individual provider Active NPI Early Intervention Provider Agency · Westfield, MA
NPI 1821785767 · NPPES record last updated Apr 20, 2023
Key facts
- NPI
- 1821785767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Practice address
- 209 Root Rd
Westfield, MA 01085-9801 - Phone
- (413) 568-3942
- NPI assigned
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTL14783 | MA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTL14783 | MA | |
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
209 Root Rd
Westfield, MA 01085-9801
Mailing address
209 Root Rd
Westfield, MA 01085-9801
Phone (413) 568-3942
Other providers in Westfield, MA
- Ronald Baer
- Arielle Baillargeon
- Logan Emily Baillargeon
- Edward S Ballis
- Jennifer Balut
- Alice Barber
- Kelly Ann Barbera
- Arlene Barnes
- Michelle M Barnett
- Rebecca A Bartle
All providers in Westfield, MA · Early Intervention Provider Agency in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.