Healthcare Provider Details

I. General information

NPI: 1427962471
Provider Name (Legal Business Name): MADISON J EARLEY OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9365 MCKNIGHT RD STE 300
PITTSBURGH PA
15237-5901
US

IV. Provider business mailing address

5297 SPRING VALLEY DR
PITTSBURGH PA
15236-1743
US

V. Phone/Fax

Practice location:
  • Phone: 412-630-9750
  • Fax:
Mailing address:
  • Phone: 878-256-1040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC021741
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: