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

Madison Distasio

Individual provider Occupational Therapist · NPI 1336741941

Madison Distasio is an Occupational Therapist in Private Practice in Wayne, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Fox Rehabilitation Services Inc, a 1,155-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2020
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Practice location Address checks out

999 Old Eagle School Rd Ste 106
Wayne, PA 19087-1707
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC017263 (PA)

Record details

NPI number1336741941
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 10, 2020
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023
Mailing address7 Carnegie Plz, Cherry Hill, NJ 08003-1000

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fox Rehabilitation Services Inc — 1155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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