Individual provider Active NPI

Madison Augustyn, OTD, OTR/L

  • Occupational Therapist
  • Omaha, NE
National Provider Identifier
1073360681
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2676 Issued in NE
Practice address
17805 Cypress Dr Apt 222
Omaha, NE 68136-4284
Phone
(913) 530-4016
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 115265 IA
Occupational Therapist 225X00000X 2676 NE Primary

Addresses

Primary practice location

17805 Cypress Dr Apt 222
Omaha, NE 68136-4284

Mailing address

17805 Cypress Dr Apt 222
Omaha, NE 68136-4284
Phone (913) 530-4016

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

LicenseStateTypeSpecialty
115265IAMDRegistered Nurse
2676NEMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1073360681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17805 CYPRESS DR APT 222",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681364284",
            "telephone_number": "913-530-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17805 CYPRESS DR APT 222",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681364284",
            "telephone_number": "913-530-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTYN",
        "first_name": "MADISON",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "115265",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.