Madison Heaton
NPI 1164296745 · Occupational Therapist · South Bend, IN
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madison Heaton is a Occupational Therapist provider in South Bend, IN (NPI 1164296745).
Provider details
- NPI number
- 1164296745
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 46TR01141200 (NJ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,212 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 601 | $31 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 342 | $22 |
| Training for Self-Care Or Home Management, Each 15 Minutes97535 | 167 | $24 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 102 | $25 |
Typical Medicare-allowed amounts for these services range $22–$31 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 105 Chester RdSpringfield, VT 05156-2106Phone: (802) 885-5741
Registry dates
- Enumerated
- 2023-11-14
- Last updated
- 2025-04-09
- Certified
- 2025-03-19
Frequently asked questions
- What is Madison Heaton's NPI number?
- Madison Heaton's National Provider Identifier (NPI) is 1164296745, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madison Heaton's specialty?
- Madison Heaton is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Madison Heaton located?
- Madison Heaton's practice location on file with NPPES is 20531 Darden Rd, South Bend, IN 46637-2915.
- What is Madison Heaton's phone number?
- The practice phone number listed in the NPPES registry for Madison Heaton is (574) 272-0100.
- Does Madison Heaton accept Medicare?
- Madison Heaton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madison Heaton's NPI active?
- Yes — Madison Heaton's NPI (1164296745) is active in the NPPES registry as of the last update on 2025-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.