=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114877750
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RUTHERFORD OCCUPATIONAL THERAPY SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/02/2026
-----------------------------------------------------
Last Update Date | 02/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 74 CENTRAL AVE
-----------------------------------------------------
City | LEWISTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17044-1403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-437-3093
-----------------------------------------------------
Fax | 717-437-3093
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 74 CENTRAL AVE
-----------------------------------------------------
City | LEWISTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17044-1403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-437-3093
-----------------------------------------------------
Fax | 717-437-3093
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR OF OCCUPATIONAL THERAPY
-----------------------------------------------------
Name | DR. MADALENE ELIZABETH RUTHERFORD
-----------------------------------------------------
Credential | OTD, OTR/L
-----------------------------------------------------
Telephone | 717-437-3093
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225XP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------