Madonna Ballou, OTR/L, PTA - Occupational Therapist in San Antonio, TX

Madonna Ballou, OTR/L, PTA is a Occupational Therapist based in San Antonio, Texas. Madonna Ballou is licensed to practice in Texas (license number 117960) and her current practice location is 1635 Ne Loop 410, Suite 600, San Antonio, Texas. She can be reached at her office (for appointments etc.) via phone at (210) 457-2000.

NPI number for Madonna Ballou is 1235471145 and her current mailing address is 121 Ebensberger Ave, Boerne, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235471145.

Contact Information

Madonna Ballou, OTR/L, PTA
1635 Ne Loop 410, Suite 600,
San Antonio, TX 78209-1625
(210) 457-2000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMadonna Ballou
GenderFemale
SpecialityOccupational Therapist
Location1635 Ne Loop 410, San Antonio, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1235471145
  • Provider Enumeration Date: 03/19/2013
  • Last Update Date: 11/08/2016

Medical Identifiers

Medical identifiers for Madonna Ballou such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235471145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 117960 (Texas)Primary
225200000XPhysical Therapy Assistant 2077540 (Texas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Madonna Ballou is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Madonna Ballou, OTR/L, PTA
121 Ebensberger Ave,
Boerne, TX 78006-2409

Ph: (830) 446-1445
Madonna Ballou, OTR/L, PTA
1635 Ne Loop 410, Suite 600,
San Antonio, TX 78209-1625

Ph: (210) 457-2000

Reviews and Comments


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