Maddox Rehabilitation Services

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MADDOX REHABILITATION SERVICES

Practice address

8338 W Cherokee LN
Fairland, IN 46126

Phone

(317) 945-2557

NPI assigned

May 26, 2018

Last updated

Jul 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kourtney Marie Maddox, OTRNPI 1568897775

Title

Owner

Phone

(317) 945-2557

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kourtney Maddox, OTR

  • Occupational Therapist
  • Indianapolis, IN
  • NPI 1568897775
  NPD (past) Authorized official

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

{
    "created_epoch": "1527292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1972094811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8338 W CHEROKEE LN",
            "city": "FAIRLAND",
            "state": "IN",
            "postal_code": "461269684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 W CHEROKEE LN",
            "city": "FAIRLAND",
            "state": "IN",
            "postal_code": "46126",
            "telephone_number": "317-945-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDOX REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-26",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "KOURTNEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-945-2557",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1568897775",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Dillon, RN
• Ted W Grisell, MD
• Leah Jones, MS, OTR
• Maddox Rehab LLC
• Chloe Ionna May
• Moral Township
• Moral Township Volunteer Fire Department
• Northwestern Consol School Dist of Shelby County
• Jonathan Onufrock

• Clinic/Center in Fairland, IN
• Providers in Fairland, IN by specialty
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.