Active NPI
Madison Nicole Land, OTR/L
- Occupational Therapist
- Lincolnton, NC
National Provider Identifier
1134844798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15449
- Practice address
- 803 N Laurel St
Lincolnton, NC 28092-2921 - Phone
- (980) 241-5361
- NPI assigned
- Oct 6, 2022
- Sex
- Female
- 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 | 15449 | NC | Primary |
Addresses
Primary practice location
803 N Laurel St
Lincolnton, NC 28092-2921
Mailing address
270 Conifer Way
Shelby, NC 28150-7302
Phone (828) 506-5701
Other practice location 1
811 W Warren St
Shelby, NC 28150-5023
Phone (828) 506-5701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wood SLP Services, Inc. | Current | Accepting new patients | |
| Kidology, Inc | Occupational Therapist | Current | Accepting new patients |
| Wood SLP Services, Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
1244 N Flint St
Lincolnton, NC 28092
Phone (704) 740-0676
811 W Warren St
Shelby, NC 28150
Phone (704) 473-1675
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Shelby, NC
- NPI 1619594678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706400000000",
"number": "1134844798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 CONIFER WAY",
"city": "SHELBY",
"state": "NC",
"postal_code": "281507302",
"telephone_number": "828-506-5701",
"fax_number": "980-701-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 N LAUREL ST",
"city": "LINCOLNTON",
"state": "NC",
"postal_code": "280922921",
"telephone_number": "980-241-5361"
}
],
"practiceLocations": [
{
"address_1": "811 W Warren St",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281505023",
"country_code": "US",
"telephone_number": "828-506-5701",
"fax_number": "980-701-0008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAND",
"first_name": "MADISON",
"middle_name": "NICOLE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-06",
"last_updated": "2024-01-28",
"certification_date": "2024-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "15449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincolnton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.