| Madelyn Paige Ellsworth, OTD, OTR/L | |
|
50 N Medical Dr # 4, Salt Lake City, UT 84132-5809 | |
| (801) 581-2132 | |
| Not Available |
| Full Name | Madelyn Paige Ellsworth |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 50 N Medical Dr # 4, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720407711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 12902170-4201 (Utah) | Primary |
| Provider Name | University Of Utah |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441 |
| Provider Name | University Of Utah Adult Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Madelyn Paige Ellsworth, OTD, OTR/L 50 N Medical Dr # 4, Salt Lake City, UT 84132-0001 Ph: (801) 987-6333 | Madelyn Paige Ellsworth, OTD, OTR/L 50 N Medical Dr # 4, Salt Lake City, UT 84132-5809 Ph: (801) 581-2132 |
Adam Porter, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-2119 | |
Aloe Otte, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Kyle Fairchild, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 E Bishop Federal Ln, Salt Lake City, UT 84115 Phone: 801-487-7557 | |
Mark Powell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-268-7111 | |
Steven Wayne Newton, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Bishop Federal Lane, Salt Lake City, UT 84115 Phone: 801-493-8903 Fax: 801-468-6843 | |
Jeff Mackay, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 | |
Kathryn Roof, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 |