Maddie List Otr LLC
Occupational Therapist, Physical Rehabilitation in Forked River, New Jersey
1417874900- Practice location
- 615 Lacey RD Ste K, Forked River, NJ 08731-2200
- Phone
- 845-234-5992
- Fax
- —
- Last updated
- July 4, 2026
Maddie List Otr LLC is a healthcare organization based in Forked River, NJ. Maddie List Otr LLC practices in Forked River, NJ. The NPI Number for Maddie List Otr LLC is 1417874900. The current practice location address for Maddie List Otr LLC is 615 Lacey RD Ste K, Forked River, NJ 08731-2200 and can be reached out via phone at 845-234-5992.
Provider Profile Details
- NPI Number
- 1417874900
- Provider Name
- Maddie List Otr LLC
- Provider Entity Type
- Organization
- Address
- 615 Lacey RD Ste K, Forked River, NJ 08731-2200
- Phone Number
- 845-234-5992
- Primary Taxonomy
- Occupational Therapist, Physical Rehabilitation · 225XP0019X
- Organization Subpart
- No
- Authorized Official
- Madeline List, OTR/L · Owner · 845-234-5992
- Provider Enumeration Date
- July 4, 2026
- Last Update Date
- July 4, 2026
- Certification Date
- July 4, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 615 Lacey RD Ste K
Forked River, NJ 08731-2200 - City
- Forked River
- State
- New Jersey
- Zip
- 08731-2200
- Phone Number
- 845-234-5992
Provider Business Mailing Address Details
- Address
- 1208 Laurel Blvd
Lanoka Harbor, NJ 08734-2904 - City
- Lanoka Harbor
- State
- NJ
- Zip
- 08734-2904
- Phone Number
- 845-234-5992
License Information
- Taxonomy
- Occupational Therapist, Physical Rehabilitation · 225XP0019X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Maddie List Otr LLC?
The NPI number of Maddie List Otr LLC is 1417874900. It was assigned on July 4, 2026 and is currently active in the NPPES registry.
What is the specialty of Maddie List Otr LLC?
Maddie List Otr LLC is registered under the primary taxonomy Occupational Therapist, Physical Rehabilitation (code 225XP0019X).
Where does Maddie List Otr LLC practice?
The practice location is 615 Lacey RD Ste K, Forked River, NJ 08731-2200. The office can be reached at 845-234-5992 (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 1417874900 directly on the NPPES registry website.