| Madison Clark, | |
|
1007 Grove Rd, Greenville, SC 29605-4630 | |
| (864) 233-5128 | |
| Not Available |
| Full Name | Madison Clark |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 2 Years |
| Location | 1007 Grove Rd, Greenville, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225996077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 7858 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Integrated Therapy Centers Llc | 3274552716 | 51 |
| Provider Name | Elite Integrated Therapy Centers LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1184673600 PECOS PAC ID: 3274552716 Enrollment ID: O20051115000119 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Clark, 162 Brookneil Dr, Winchester, VA 22602-6650 Ph: Not Available | Madison Clark, 1007 Grove Rd, Greenville, SC 29605-4630 Ph: (864) 233-5128 |
Martha Manieri, OTRL Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 534 Old Howell Rd, Greenville, SC 29615 Phone: 864-244-3626 Fax: 864-244-6923 |
Rebecca Grace Gratton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1353 Fax: 864-331-1446 |
Shannon Jones, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 536 Old Howell Rd, Greenville, SC 29615 Phone: 864-244-3626 |
Jami Trenor, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 11 East Augusta Place, Greenville, SC 29605 Phone: 864-991-8379 |
Mrs. Kelly Macintire Prater, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1364 |
Jana Feldman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1350 Fax: 864-331-1446 |
Ginnette Malay-romkey, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 N Academy St, Greenville, SC 29601 Phone: 864-331-1350 |