Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Axel Edgardo Colon Padin, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1770169658

Axel Edgardo Colon Padin, OTR/L is an Occupational Therapist in Private Practice in Clarksville, Tennessee. Qualified in 2019, 7 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2021
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2197 Madison St Ste 106
Clarksville, TN 37043-5253
Phone: (931) 503-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 215 Dunbar Cave Rd Ste A, Clarksville, TN 37043-8850 — (831) 333-6148

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 6759 (TN)

Record details

NPI number1770169658
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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