Healthcare Provider Details

I. General information

NPI: 1497553200
Provider Name (Legal Business Name): MADISON MCELHINNY OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2025
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8561 MARKET ST
BOARDMAN OH
44512-6727
US

IV. Provider business mailing address

8561 MARKET ST
BOARDMAN OH
44512-6727
US

V. Phone/Fax

Practice location:
  • Phone: 330-953-2383
  • Fax: 330-953-2384
Mailing address:
  • Phone: 330-953-2383
  • Fax: 330-953-2384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: