MEDICARE: MADISON LINDO OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	030777-01	NY

General Provider Information

NPI Number	:	1659227056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON LINDO OTR/L

Provider Business Mailing Address
First Line	:	1439 LITTLE BRITAIN RD
Second Line	:
City	:	ROCK TAVERN
State	:	NY
Zip	:	12575-5278
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	145 WINDSOR HWY
Second Line	:
City	:	NEW WINDSOR
State	:	NY
Zip	:	12553-6232
Country	:	US
Telephone Number	:	845-683-5718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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