Individual provider · Type 1 NPI

Madison Heaton

Occupational Therapist · South Bend, IN

NPI number 1164296745 Active

Practice location

20531 Darden Rd
South Bend, IN 46637-2915

Mailing address

189 Wabeeno Trl
Medford Lakes, NJ 08055-1319

Other practice locations

  • 105 Chester Rd, Springfield, VT 05156-2106 · (802) 885-5741

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X46TR01141200 (NJ)
Occupational Therapist 225X00000X072.0134420 (VT)
Occupational Therapist Primary 225X00000X31008690A (IN)

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…

8 other providers at this address

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About NPI 1164296745

Madison Heaton's National Provider Identifier is 1164296745, issued on Nov 14, 2023. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in South Bend, IN. The record was last updated on Apr 9, 2025.