Active NPI
Madison Jones, OTR/L
- Occupational Therapist
- Dacula, GA
National Provider Identifier
1962045005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007555
- Practice address
- 2089 Teron Trce Ste 120
Dacula, GA 30019-1609 - Phone
- (770) 904-6009
- NPI assigned
- Oct 22, 2019
- 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 | OT007555 | GA | Primary |
Addresses
Primary practice location
2089 Teron Trce Ste 120
Dacula, GA 30019-1609
Mailing address
2089 Teron Trce Ste 120
Dacula, GA 30019-1609
Phone (770) 904-6009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
102 Oakwood Hills Dr
Suwanee, GA 30024-1773
1854 Auburn Rd
Suite 101
Dacula, GA 30019-1130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT007555 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tender Ones Therapy Services, Inc. | Current | Accepting new patients | |
| Teamup Therapy LLC | Occupational Therapist | Past | Accepting new patients |
Locations
2089 Teron Trce
Ste 120
Dacula, GA 30019
Phone (770) 904-2357
1100 Sherwood Park Dr NE
Ste 220
Gainesville, GA 30501
Phone (678) 971-5048
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.
-
- Pediatric Physical Therapist
- Dacula, GA
- NPI 1063667970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1962045005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2089 TERON TRCE STE 120",
"city": "DACULA",
"state": "GA",
"postal_code": "300191609",
"telephone_number": "770-904-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2089 TERON TRCE STE 120",
"city": "DACULA",
"state": "GA",
"postal_code": "300191609",
"telephone_number": "770-904-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MADISON",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-22",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT007555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.