Provider Demographics
NPI:1699491589
Name:BELL, MADISON (MS OTR/L)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14400 WESTBAY RD.
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:NY
Mailing Address - Zip Code:13156
Mailing Address - Country:US
Mailing Address - Phone:315-529-9606
Mailing Address - Fax:
Practice Address - Street 1:928 CAYUGA ST
Practice Address - Street 2:
Practice Address - City:HANNIBAL
Practice Address - State:NY
Practice Address - Zip Code:13074-3138
Practice Address - Country:US
Practice Address - Phone:315-561-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY118109-01225X00000X
NY027670225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist