Madison Misenheimer, OTR/L
NPI 1790407104ActiveIndividual· Occupational Therapist· Jefferson City, TN
Occupational Therapist (OTR/L) with Jordan C Black, practicing in Jefferson City, Tennessee. Medicare paid $52,208 for services to 60 patients in 2024.
Overview
| NPI | 1790407104 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Sep 13, 2022 |
| Last updated in NPPES | Jan 7, 2026 |
| Certified by provider | Jan 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 7416 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 3,388 across 18 procedure codes |
| Paid by Medicare | $52,208 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Jordan C BlackMorristown, TN · 23 clinicians
Other Occupational Therapist providers in Jefferson City
- 1730803404