Individual provider Active NPI

Madison Druin, OTR/L

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1902524523
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
277256 Issued in KY
Practice address
1800 Neville Dr
Louisville, KY 40216-3820
Phone
(502) 633-1007
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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 277256 KY Primary

Addresses

Primary practice location

1800 Neville Dr
Louisville, KY 40216-3820

Mailing address

6206 Oak Valley Dr
Louisville, KY 40214-3112
Phone (502) 445-0907

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240712002042 KY Practitioner - Occupational Therapist in Private Practice 9537604608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

620 Valley College Dr
Louisville, KY 40272-2794
Phone (502) 678-0977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277256KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince May 28, 2024 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Jul 14, 2025 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince May 28, 2024 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Jul 14, 2025 Accepting new patients

Locations

10210 Long Home Rd
Louisville, KY 40291
Phone (502) 231-4522

9107 Taylorsville Rd
Louisville, KY 40299
Phone (502) 380-6585

6901 Carslaw Ct
Prospect, KY 40059
Phone (502) 480-1794

Organizations & group practices 5

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": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1902524523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 OAK VALLEY DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402143112",
            "telephone_number": "502-445-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NEVILLE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163820",
            "telephone_number": "502-633-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUIN",
        "first_name": "MADISON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "277256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.