Madisyn Wade, OTR/L
Individual provider Active NPI Occupational Therapist · Jasper, IN
NPI 1992505507 · NPPES record last updated Mar 14, 2025
Key facts
- NPI
- 1992505507
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 31008649A (IN)
- Practice address
- 293 S US Highway 231
Jasper, IN 47546-3244 - Phone
- (812) 998-6176
- NPI assigned
- Mar 14, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Salience Neurorehab, LLC
Practice addresses (Care Compare)
293 S US Hwy 231
Jasper, IN 47546-3244
Phone (812) 998-6176
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250328001387 | IN | Practitioner - Occupational Therapist in Private Practice | 8921521147 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31008649A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovation Therapy, LLC | Current |
Accepting new patients | |
| Salience Neurorehab, LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
293 S US Highway 231
Jasper, IN 47546
Phone (812) 998-6176
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31008649A | IN | Yes |
Addresses
Primary practice location
293 S US Highway 231
Jasper, IN 47546-3244
Mailing address
15532 US Highway 231
Loogootee, IN 47553-4942
Phone (812) 709-9129
Other providers in Jasper, IN
- Robert Vogler
- Alyssa Vonderheide
- Kelley M Vonderheide
- Benjamin Tristan Vonderschmitt
- Melody Voyles
- Theodore A Waflart
- Britney Wagler
- James Wesley Wagler
- Shayna Wagler
- Wagner Family Dental
All providers in Jasper, IN · Occupational Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.