Larry Scott Maddy in Ooltewah - Occupational Therapist

Larry Scott Maddy - NPI 1487635934

Larry Scott Maddy is a Occupational Therapist in Ooltewah, Tennessee. Larry Scott Maddy practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Larry Scott Maddy is 1487635934. The last update date is 2014-06-16.

Larry Scott Maddy's current location address is 8823 Production Ln, Ooltewah, Tennessee. You can contact this provider via phone number 4232387217 and fax number 4239547408. The mailing address for Larry Scott Maddy is 8823 Production Ln, Ooltewah, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Larry Scott Maddy
Address 8823 Production Ln, Ooltewah, Tennessee
Phone Number 4232387217
Fax Number 4239547408
Sole Proprietor N
Credentials OTR L CHT

NPI Number Detail

NPI Number 1487635934
Provider Enumeration Date 2005-11-10
Last Updated Date 2014-06-16

Provider Mailing Address Detail

Address 8823 Production Ln
City Ooltewah
State Tennessee (TN)
Post Code 373636511
Phone Number 4232387217
Fax Number 4239547408

Provider's Primary Taxonomy Detail

Speciality Occupational Therapist
Taxonomy 225X00000X
Licence No 1145
Definition:
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
66985 MEDCOST
7301040 NC --
2510062C NC MEDICARE OCCUPATIONAL THERAPY
53709 NC BCBS
670000776 NC MEDICARE RAILROAD

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FAQs about Larry Scott Maddy

What is the unique identifier code issued to Larry Scott Maddy by the Centers for Medicare & Medicaid Services (CMS)?

The Larry Scott Maddy has been assigned the NPI (National Provider Identifier) 1487635934. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Larry Scott Maddy is physically located?

The Larry Scott Maddy is situated at the following address: 8823 Production Ln, Ooltewah, TN 373636511.

What is Larry Scott Maddy's area of expertise and its corresponding taxonomy classification?

The Larry Scott Maddy's field of specialization is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Larry Scott Maddy receive its 1487635934 assignment from the Centers for Medicare & Medicaid Services?

The Larry Scott Maddy was assigned its 1487635934 on 2005-11-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Larry Scott Maddy's details last updated?

The information pertaining to the Larry Scott Maddy, including its address, specialty, and other details, was most recently updated on 2014-06-16.

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