MEDICARE: MADELINE DANIELLE BUSKY MOT, 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	OC018695	PA
2	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1659972750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE DANIELLE BUSKY MOT, OTR/L

Provider Business Mailing Address
First Line	:	816 SHORT ST
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-1960
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 N FRANKLIN DR STE 4-5
Second Line	:
City	:	WASHINGTON
State	:	PA
Zip	:	15301-5874
Country	:	US
Telephone Number	:	724-705-7050
Fax Number	:

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

Provider Enumeration Date	:	11/04/2020
Last Update Date	:	01/16/2026

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