Madison Bohannon
Madison Bohannon is an Occupational Therapist in Private Practice in Leakesville, Mississippi. Qualified in 2024, 2 years ago. Practices with Encore Rehabilitation, Inc, a 182-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 2
- Licensed in
- MS
- In the registry since
- 2024
Practice location Address checks out
433 Main StLeakesville, MS 39451-6502
Phone: (601) 394-4545
Fax: (601) 394-4546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5136 Main St, Lucedale, MS 39452-6524 — (601) 947-9005
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT4157 (MS) |
|---|
Record details
| NPI number | 1457198806 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 12, 2024 |
| Last updated in NPPES | July 12, 2024 |
| Certification date | July 12, 2024 |
| Mailing address | 42465 Highway 195, Haleyville, AL 35565-7052 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Encore Rehabilitation, Inc — 182 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Leakesville
-
Merritt B Vise
1300 Melody Ln, Leakesville, MS 39451-6530 · (601) 394-2331