Madeline Anne Gardner, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0005721 Issued in CO

Practice address

968 N 4TH St
Berthoud, CO 80513-1142

Phone

(303) 250-8425

NPI assigned

Dec 5, 2018

Last updated

Dec 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Covell Care and Rehabilitation, LLC

  • Home Health Agency
  • Windsor, CO
  • NPI 1063695351
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1962972786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "968 N 4TH ST",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 N 4TH ST",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131142",
            "telephone_number": "303-250-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MADELINE",
        "middle_name": "ANNE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0005721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanna Jean Foley, LPC
• Karl Ray Foreman, RPH PHARMACIST
• Founders Healthcare, LLC (Preferred Homecare)
• Franklin Avenue Healthcare Inc. (Berthoud Care and Rehabilitation)
• Franklin Avenue Healthcare Inc.
• Ellen Geoffrion, MA, LPC, R-DMT
• Cynthia Lee Goacher, M.D.
• Carri Grimditch
• Lisa Diane Hancock, BCBA
• Healingthebeing

• Occupational Therapist in Berthoud, CO
• Providers in Berthoud, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.