Active NPI
James Vincent Maddamma
- Occupational Therapist
- North Canton, OH
National Provider Identifier
1003556556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 192416
- Practice address
- 3689 Dotwood St NW
North Canton, OH 44720-4453 - Phone
- (330) 312-4262
- NPI assigned
- Mar 31, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 192416 | AK | Primary |
Addresses
Primary practice location
3689 Dotwood St NW
North Canton, OH 44720-4453
Mailing address
3689 Dotwood St NW
North Canton, OH 44720-4453
Phone (330) 312-4262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192416 | AK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1003556556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3689 DOTWOOD ST NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447204453",
"telephone_number": "330-312-4262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3689 DOTWOOD ST NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447204453",
"telephone_number": "330-312-4262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDAMMA",
"first_name": "JAMES",
"middle_name": "VINCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "192416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.