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

Madison Jordan

Individual provider Occupational Therapist · NPI 1700764024

Madison Jordan is an Occupational Therapist in Private Practice in Pikesville, Maryland. Qualified in 2025, 1 year ago. Practices with Lea's Place LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
1
Licensed in
MD
In the registry since
2025
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Practice location Address checks out

1848 Reisterstown Rd
Pikesville, MD 21208-1379
Phone: (443) 360-5527
Fax: (877) 353-0384
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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 10594 (MD)

Record details

NPI number1700764024
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lea'S Place Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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