1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Physical Therapist
  6. NPI Profile

MA LOURDES MADERAZO TADLIP
NPI 1154947661
Physical Therapist - Geriatrics in Raleigh, NC

Active since June 20, 2020
616 WADE AVE, RALEIGH, NC 27605(919) 828-6251 Get Directions Write a Review

NPPES record last updated: June 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ma Lourdes Maderazo Tadlip NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MA LOURDES MADERAZO TADLIP (NPI 1154947661) is an individual geriatrics provider in Raleigh, North Carolina, licensed in North Carolina (11455) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1154947661
Entity TypeIndividualFemale
Primary Taxonomy2251G0304X
Provider Legal NameMA LOURDES MADERAZO TADLIP
Location Address616 WADE AVERaleigh, NC 27605-1237
Mailing Address616 Wade AveRaleigh, NC 27605-1237 · (919) 828-6251
Phone(919) 828-6251
Sole ProprietorYes
Enumeration DateJune 20, 2020
NPPES CertifiedJune 20, 2020
✔ NPI 1154947661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License✔ Licensed in NC · 11455
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.
616 WADE AVE, Raleigh, NC 27605
Open in Google Maps ↗

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JEFFREY ALLEN VANFLEET OTR/L
Occupational Therapist
616 WADE AVE
RALEIGH, NC 27605
Wake County (919) 828-6251
PURVI PAREKH OTR
Occupational Therapist
616 WADE AVE
RALEIGH, NC 27605
Wake County (919) 828-6251
TEEANNA ELLEN REED
Occupational Therapist
616 WADE AVE
RALEIGH, NC 27605
Wake County (919) 828-6251
TARA RENEE BALL COTA/L
Occupational Therapy Assistant
616 WADE AVE
RALEIGH, NC 27605
Wake County (919) 828-6251
BARBARA HOYD MARTIN COTA/L
Occupational Therapy Assistant
616 WADE AVE
RALEIGH, NC 27605
Wake County (919) 828-6251
MR. STEPHEN ROBERT CAVITT PHYSICAL THERAPIST
Physical Therapist
616 WADE AVE
RALEIGH, NC 27605
Wake County (919) 828-6251
RALEIGH REHABILITATION CENTER, LLC
Skilled Nursing Facility
616 WADE AVE
RALEIGH, NC 27605
Wake County (919) 828-6251
SONAI K. THARMAR MS CCC SLP
Speech-Language Pathologist
616 WADE AVE
RALEIGH, NC 27605
Wake County (919) 828-6251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ma Lourdes Tadlip's NPI number?

The NPI number for Ma Lourdes Tadlip is 1154947661. It was assigned to this individual provider in the NPPES registry on June 20, 2020.

Where is Ma Lourdes Tadlip located?

Ma Lourdes Tadlip practices at 616 Wade Ave, Raleigh, NC 27605. The listed phone number is (919) 828-6251.

What is Ma Lourdes Tadlip's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Ma Lourdes Tadlip was last updated on June 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.