EBONI MADLOCK
NPI 1568848166
Occupational Therapist in Jackson, MS

Active since August 05, 2015
1081 AUTUMN ST, JACKSON, MS 39212(601) 874-5741 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eboni Madlock NPPES

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

EBONI MADLOCK (NPI 1568848166) is an individual occupational therapist in Jackson, Mississippi, licensed in Mississippi (3294) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1568848166
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameEBONI MADLOCK
Location Address1081 AUTUMN STJackson, MS 39212-2555
Mailing Address1081 Autumn StJackson, MS 39212-2555
Sole ProprietorNo
Enumeration DateAugust 5, 2015
Last NPPES UpdateJune 21, 2021
NPPES CertifiedJune 21, 2021
NPI 1568848166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses Licensed in MS · 3294 Licensed in TX · 117075
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1081 AUTUMN ST, Jackson, MS 39212

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 Eboni Madlock's NPI number?

The NPI number for Eboni Madlock is 1568848166. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Where is Eboni Madlock located?

Eboni Madlock practices at 1081 Autumn St, Jackson, MS 39212. The listed phone number is (601) 874-5741.

What is Eboni Madlock's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Eboni Madlock was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.