Madison Mae Schantz Nugent, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

20716 Issued in FL

Practice address

120 N Richard Jackson Blvd Ste 180
Panama City Beach, FL 32407-2522

Phone

(850) 235-6360

Fax

(850) 235-8871

NPI assigned

Feb 23, 2022

Last updated

Mar 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1053067454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 TEN ACRE RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324057129",
            "telephone_number": "567-204-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N RICHARD JACKSON BLVD STE 180",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072522",
            "telephone_number": "850-235-6360",
            "fax_number": "850-235-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "MADISON",
        "middle_name": "MAE SCHANTZ",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "20716",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "FL",
            "license": "20716",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "20716",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "FL",
            "license": "20716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LICENSE",
            "identifier": "OT20716",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mimi Celina North, LMT
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• Nu Wave Medical Center PA
• Nursetel LLC (Care Angels)
• Christopher Ohsie, D.C.
• Oliver M Hasek Jr LLC
• Dianna Olsen, MA, CAP
• Barbara Camila Ozores

• Pediatric Occupational Therapist in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.