Individual provider Active NPI

Madelyn Levasseur, OTR

  • Occupational Therapist
  • Sparks, MD
National Provider Identifier
1952913659
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
09023 Issued in MD
Practice address
954 Ridgebrook Rd Ste 310
Sparks, MD 21152-9440
Phone
(443) 212-5745
Fax
(443) 212-5749
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

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
Sparks Physical Therapy, Inc. 10 clinicians

Practice addresses (Care Compare)

954 Ridgebrook Rd
Suite 310
Sparks Glencoe, MD 21152-9440
Phone (443) 212-5745

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230713000002 MD Practitioner - Occupational Therapist in Private Practice 2860852563 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09023MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sparks Physical Therapy, Inc. Occupational Therapist CurrentSince Oct 13, 2024 Accepting new patients
Sparks Physical Therapy, Inc. Occupational Therapist CurrentSince Jul 1, 2023 Accepting new patients

Locations

954 Ridgebrook Rd
Ste 310
Sparks Glencoe, MD 21152
Phone (443) 212-5745

954 Ridgebrook Rd
Ste 330
Sparks Glencoe, MD 21152
Phone (301) 792-1450

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 09023 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

954 Ridgebrook Rd Ste 310
Sparks, MD 21152-9440

Mailing address

954 Ridgebrook Rd Ste 310
Sparks, MD 21152-9440
Phone (443) 212-5745

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 29, 2024.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1952913659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 RIDGEBROOK RD STE 310",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529440",
            "telephone_number": "443-212-5745",
            "fax_number": "443-212-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 RIDGEBROOK RD STE 310",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529440",
            "telephone_number": "443-212-5745",
            "fax_number": "443-212-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVASSEUR",
        "first_name": "MADELYN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.