MA LOURDES MADERAZO TADLIP (NPI# 1154947661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154947661 |
| Entity Type | Individual |
| Full Name | MA LOURDES MADERAZO TADLIP |
| Practice Address |
616 Wade Ave Raleigh NC 27605-1237 |
| Practice Telephone | 9198286251 |
| Mailing Telephone | 9198286251 |
| Enumeration Date | 2020-06-20 |
| Last Update Date | 2020-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
11455 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
616 WADE AVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27605-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023285822 | Jeffrey Allen Vanfleet | Occupational Therapist | 616 Wade Ave, Raleigh, NC 27605-1237 | 2008-05-12 |
| 1942783774 | Kaitlyn Leigh Syty | Occupational Therapist | 616 Wade Ave, Raleigh, NC 27605-1237 | 2018-09-07 |
| 1396161527 | Raleigh Rehabilitation Center, LLC | Skilled Nursing Facility | 616 Wade Ave, Raleigh, NC 27605-1237 | 2014-03-12 |
| 1689914590 | Nc Physiatry Pllc | Physical Medicine & Rehabilitation | 616 Wade Ave, Raleigh, NC 27605-1237 | 2013-03-01 |
| 1720249725 | Brooke Gartrell Morgan | Physical Medicine & Rehabilitation | 616 Wade Ave, Raleigh, NC 27605-1237 | 2008-06-23 |
| 1063679538 | Teeanna Ellen Reed | Occupational Therapist | 616 Wade Ave, Raleigh, NC 27605-1237 | 2008-05-21 |
| 1538326319 | Luann Parmelee Regittko | Speech-Language Pathologist | 616 Wade Ave, Raleigh, NC 27605-1237 | 2008-05-20 |
| 1093972895 | Tara Renee Ball | Occupational Therapy Assistant | 616 Wade Ave, Raleigh, NC 27605-1237 | 2008-05-20 |
| 1497912265 | Eugenia Mae Kearney | Physical Therapy Assistant | 616 Wade Ave, Raleigh, NC 27605-1237 | 2008-05-20 |
| 1407013337 | Sonai K. Tharmar | Speech-Language Pathologist | 616 Wade Ave, Raleigh, NC 27605-1237 | 2008-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982195509 | Kelsey Luvender Garner | Counselor | 1405 Hillsborough St # 104, Raleigh, NC 27605 | 2018-05-21 |
| 1760972046 | Brandi Teetor | Social Worker | 801 Oberlin Rd Ste 310, Raleigh, NC 27605 | 2018-05-13 |
| 1497264188 | Jasmine Campbell | Behavior Technician | 505 Oberlin Road, 230, Raleigh, NC 27605 | 2017-09-25 |
| 1487087722 | Cornelius Toliver | Pharmacist | 815 Oberlin Road, Raleigh, NC 27605 | 2013-08-09 |
| 1811218449 | Pushpesh Bhandari | Pharmacist | 501 Woodburn Rd, Raleigh, NC 27605 | 2010-06-17 |
| 1275627739 | Paige Corinne Tharrington | Counselor | 800 St. Mary's Street, Suite 401, Raleigh, NC 27605 | 2006-10-02 |
| 1699740118 | Mary Sue Huelsbeck | Psychologist | 629 Oberlin Road, Raleigh, NC 27605 | 2006-02-19 |
| 1245215177 | Ashley H Lloyd | Dentist | 1330 St. Marys St, Suite B30, Raleigh, NC 27605 | 2005-12-14 |
| 1457814709 | Hannah Rose Tucker | Physical Therapist | 815 Oberlin Rd Ste 302, Raleigh, NC 27605 | 2019-04-12 |
| 1235676578 | Ian Brown | Physician Assistant | 815 Oberlin Road, #200, Raleigh, NC 27605 | 2017-01-25 |
| Find all providers in zip 27605 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104342260 | Donna Misa | Physical Therapist | 8300 Yaxley Hall Dr, Raleigh, NC 27616-5977 | 2017-08-20 |
| 1093781403 | Frank J Hielema | Physical Therapist | 926 Williamson Dr, Raleigh, NC 27608-2308 | 2006-02-24 |
| 1326307844 | Stacey Reid | Physical Therapist | 5301 Creedmoor Rd, Raleigh, NC 27612-3822 | 2012-05-04 |
| 1326127242 | Suresteps Inc | Physical Therapist | 926 Williamson Dr, Raleigh, NC 27608-2308 | 2006-11-02 |
| 1669449328 | Rita B Atkins | Physical Therapist | 926 Williamson Dr, Raleigh, NC 27608-2308 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952928129 | Home Strong Therapy LLC | Physical Therapist | 9 Devonshire Dr, Greensboro, NC 27410-2434 | 2020-07-02 |
| 1376164988 | Age Well Nc LLC | Physical Therapist | 1610 Dunn Pl, Hillsborough, NC 27278-7721 | 2020-05-05 |
| 1306497631 | Rehabalance LLC | Physical Therapist | 11518 Grenfell Ave, Huntersville, NC 28078-2473 | 2019-09-27 |
| 1548797699 | Carlos Bannister | Physical Therapist | 5908 Peaceful Glen Dr, Pfafftown, NC 27040-9300 | 2017-05-19 |
| 1811434129 | Claudian J Davis | Physical Therapist | 8208 Mccarron Way, Charlotte, NC 28215-8716 | 2017-01-24 |
| 1720435241 | Karen Ross | Physical Therapist | 1512 Edgeware Ct, Fayetteville, NC 28314-1864 | 2016-05-16 |
| 1265843908 | Laura Nobles Elkin | Physical Therapist | 6732 Us Highway 220 S, Asheboro, NC 27205-1578 | 2014-05-15 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1104160878 | Norine Cross | Physical Therapist | 204 Highland Trl, Chapel Hill, NC 27516-8626 | 2012-11-19 |
| 1871855825 | Mike Colegrove | Physical Therapist | 9101 Ashton Brook Dr, Kernersville, NC 27284-8467 | 2012-06-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MA LOURDES MADERAZO TADLIP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.