Provider Demographics
NPI:1548926744
Name:RAMAEKERS, MADISEN L (OT)
Entity type:Individual
Prefix:MRS
First Name:MADISEN
Middle Name:L
Last Name:RAMAEKERS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N 93RD ST STE 100
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-2616
Mailing Address - Country:US
Mailing Address - Phone:402-391-2001
Mailing Address - Fax:402-391-2004
Practice Address - Street 1:600 N 93RD ST STE 100
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-2616
Practice Address - Country:US
Practice Address - Phone:402-391-2001
Practice Address - Fax:402-391-2004
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2615224Z00000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant