Provider Demographics
NPI:1508571282
Name:I ADAPT OT, LLC
Entity Type:Organization
Organization Name:I ADAPT OT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:ELIZABETH LOUGHLIN
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:410-650-6885
Mailing Address - Street 1:6055 CEDAR WOOD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3674
Mailing Address - Country:US
Mailing Address - Phone:410-650-6885
Mailing Address - Fax:410-650-6886
Practice Address - Street 1:6055 CEDAR WOOD DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3674
Practice Address - Country:US
Practice Address - Phone:410-650-6885
Practice Address - Fax:410-650-6886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty