Provider Demographics
NPI:1992392716
Name:LEHMAN, MADELYN (OTR/L)
Entity type:Individual
Prefix:
First Name:MADELYN
Middle Name:
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 CHESTERFORD WAY
Mailing Address - Street 2:
Mailing Address - City:MC LEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22101-3219
Mailing Address - Country:US
Mailing Address - Phone:814-528-3889
Mailing Address - Fax:
Practice Address - Street 1:8700 CENTREVILLE RD STE 420
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-8411
Practice Address - Country:US
Practice Address - Phone:571-377-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10289225X00000X
225X00000X
VA0119010205225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist