Madelyn Nicole Hume, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10172 Issued in MD

Practice address

2028 Liberty Rd Ste 103
Eldersburg, MD 21784-5079

Phone

(410) 205-4777

NPI assigned

Feb 23, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Madelyn Nicole Basye Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1013773480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 LIBERTY RD STE 103",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217845079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 LIBERTY RD STE 103",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217845079",
            "telephone_number": "410-205-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5216 Chairmans Ct Ste 104",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217032858",
            "country_code": "US",
            "telephone_number": "410-205-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUME",
        "first_name": "MADELYN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "10172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELYN",
            "last_name": "BASYE",
            "middle_name": "NICOLE",
            "prefix": "MISS",
            "credential": "MSOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Eldersburg, MD
• Providers in Eldersburg, MD by specialty
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.