Madison Heaton
Occupational Therapist in South Bend, Indiana
1164296745- Practice location
- 20531 Darden RD, South Bend, IN 46637-2915
- Phone
- 574-272-0100
- Fax
- —
- Last updated
- April 9, 2025
Madison Heaton is an Occupational Therapist based in South Bend, IN. Madison Heaton practices in South Bend, IN. The NPI Number for Madison Heaton is 1164296745 and holds a License No. 46TR01141200 (NJ). The current practice location address for Madison Heaton is 20531 Darden RD, South Bend, IN 46637-2915 and can be reached out via phone at 574-272-0100.
Provider Profile Details
- NPI Number
- 1164296745
- Provider Name
- Madison Heaton
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20531 Darden RD, South Bend, IN 46637-2915
- Phone Number
- 574-272-0100
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 14, 2023
- Last Update Date
- April 9, 2025
- Certification Date
- March 19, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20531 Darden RD
South Bend, IN 46637-2915 - City
- South Bend
- State
- Indiana
- Zip
- 46637-2915
- Phone Number
- 574-272-0100
Provider Business Mailing Address Details
- Address
- 189 Wabeeno Trl
Medford Lakes, NJ 08055-1319 - City
- Medford Lakes
- State
- NJ
- Zip
- 08055-1319
- Phone Number
- 609-678-5808
License Information
- License Number (1)
- 46TR01141200
- License State (1)
- NJ
- Taxonomy (1)
- Occupational Therapist · 225X00000X
- License Number (2)
- 072.0134420
- License State (2)
- VT
- Taxonomy (2)
- Occupational Therapist · 225X00000X
- License Number (3)
- 31008690A
- License State (3)
- IN
- Taxonomy (3)
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Occupational Therapists near South Bend, IN
View all Occupational Therapists in South Bend →Frequently Asked Questions
What is the NPI number of Madison Heaton?
The NPI number of Madison Heaton is 1164296745. It was assigned on November 14, 2023 and is currently active in the NPPES registry.
What is the specialty of Madison Heaton?
Madison Heaton is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR01141200.
Where does Madison Heaton practice?
The practice location is 20531 Darden RD, South Bend, IN 46637-2915. The office can be reached at 574-272-0100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164296745 directly on the NPPES registry website.