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

Michael Montgomery Maddox

Individual provider Occupational Therapy Assistant · NPI 1497403224

Michael Montgomery Maddox is an Occupational Therapy Assistant in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2022.

Licensed in
KY
In the registry since
2022

Practice location Address checks out

11901 Shelbyville Rd
Louisville, KY 40243-1040
Phone: (502) 245-3774
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence A5753 (KY)

Record details

NPI number1497403224
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 10, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 8, 2022

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