MRS. MADALYN BROCK (NPI# 1215394960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215394960 |
| Entity Type | Individual |
| Full Name | MRS. MADALYN BROCK |
| Credential | OTR/L |
| Practice Address |
3526 Dutchmans Ln Louisville KY 40205-3256 |
| Mailing Address |
3010 Iris Way Louisville KY 40220-1251 |
| Practice Telephone | 5024526331 |
| Mailing Telephone | 5023561888 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 31005674A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | R5885 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3526 DUTCHMANS LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40205-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851379788 | Bryan S. Mccoy, Inc. | Skilled Nursing Facility | 3526 Dutchmans Ln, Louisville, KY 40205-3256 | 2005-12-30 |
| 1558916569 | Seneca Place LLC | Skilled Nursing Facility | 3526 Dutchmans Ln, Louisville, KY 40205-3256 | 2019-08-06 |
| 1215439559 | Anita Rena Robbins | Occupational Therapist | 3526 Dutchmans Ln, Louisville, KY 40205-3256 | 2018-03-02 |
| 1194226597 | Carrie Burmester Norris | Occupational Therapist | 3526 Dutchmans Ln, Louisville, KY 40205-3256 | 2018-02-22 |
| 1609377019 | Kaitlyn Elizabeth Brown | Physical Therapist | 3526 Dutchmans Ln, Louisville, KY 40205-3256 | 2018-02-22 |
| 1831649722 | Marjorie Hyams Knauer | Speech-Language Pathologist | 3526 Dutchmans Ln, Louisville, KY 40205-3256 | 2016-10-04 |
| 1457718728 | Carolyn Hull | Physical Therapist | 3526 Dutchmans Ln, Louisville, KY 40205-3256 | 2016-01-18 |
| 1013359694 | Diversicare of Seneca Place LLC | Skilled Nursing Facility | 3526 Dutchmans Ln, Louisville, KY 40205-3256 | 2013-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558844027 | Arthur James Shulthise Jr. | Family Medicine | Bldg. 2801 - Bowman Field, 2801 Taylorsville Road, Louisville, KY 40205 | 2018-09-11 |
| 1609392133 | Leah Elizabeth Storch | Occupational Therapist | 2231 Wendell Ave, Louisville, KY 40205 | 2017-08-16 |
| 1437679842 | Michael Edward Lovelace | Family Medicine | 1800 Stevens Avenue, Louisville, KY 40205 | 2017-06-27 |
| 1699205328 | Nathaniel George Kennedy | Physician Assistant | 3101 Bardstown Road, Sullivan University Physician Assistant Program, Louisville, KY 40205 | 2017-06-14 |
| 1225584972 | Kalpana Bhaskar | Pharmacist | 3036 Bardstown Road, Louisville, KY 40205 | 2016-08-31 |
| 1013398627 | William Wood | Hearing Instrument Specialist | 2239 Bardstown Rd., Louisville, KY 40205 | 2015-06-10 |
| 1811306707 | Alaina Rotelli | Pharmacist | 2100 Gardiner Lane, Louisville, KY 40205 | 2014-08-05 |
| 1013325760 | Jaime Alexandra Seelmeyer | Counselor | 1718 Deerwood Ave, Apt 1, Louisville, KY 40205 | 2014-07-25 |
| 1992009336 | Priscilla Freeman | Case Manager/Care Coordinator | 3171 Taylorsville Rd, 1st Floor, Louisville, KY 40205 | 2010-12-28 |
| 1457501413 | Amanda Christine Voils-levenda | Psychologist | 1911 Bardstown Rd, Suite #bl, Louisville, KY 40205 | 2008-09-26 |
| Find all providers in zip 40205 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| 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 Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939468 | Amanda Anderson | Occupational Therapist | 5323 Haventree Pl, Louisville, KY 40229-2259 | 2020-10-12 |
| 1023624061 | Danette Moran | Occupational Therapist | 10503 Vista Hills Blvd, Louisville, KY 40291-4940 | 2020-09-16 |
| 1720699929 | Bridget Virginia Carrithers | Occupational Therapist | 13510 Terrace Creek Dr Apt 201, Louisville, KY 40245-5842 | 2020-08-11 |
| 1346850096 | Annie White | Occupational Therapist | 1627 Nightingale Rd, Louisville, KY 40213-1007 | 2020-08-07 |
| 1336758333 | Kristin Sha Bowen | Occupational Therapist | 11610 Apex View Dr Apt 202, Louisville, KY 40229-8308 | 2020-07-26 |
| 1356967301 | Sarah Camille Moseley | Occupational Therapist | 1924 Roanoke Ave, Louisville, KY 40205-1416 | 2020-06-24 |
| 1639701261 | Dustin Hayden | Occupational Therapist | 6005 Highplace Dr, Louisville, KY 40291-2264 | 2020-02-11 |
| 1467082792 | Megan Holderman | Occupational Therapist | 1236 Hull St, Louisville, KY 40204-1116 | 2020-01-26 |
| 1982242731 | Morgan Hudgens | Occupational Therapist | 1005 Willow Springs Dr, Louisville, KY 40242-7943 | 2019-12-11 |
| 1164067708 | Benchmark Physical Therapy of Ky LLC | Occupational Therapist | 1917 Blankenbaker Pkwy, Louisville, KY 40299-2403 | 2019-11-07 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40205 |
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| 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.