Individual provider Active NPI

Madison Nicole Land, OTR/L

  • Occupational Therapist
  • Lincolnton, NC
National Provider Identifier
1134844798
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
15449 Issued in NC
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

Updated by the provider on Jan 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230630003262 NC Practitioner - Occupational Therapist in Private Practice 7113386665 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wood SLP Services, Inc. CurrentSince Oct 9, 2022 Accepting new patients
Kidology, Inc Occupational Therapist CurrentSince Jun 7, 2023 Accepting new patients
Wood SLP Services, Inc. Occupational Therapist CurrentSince Oct 1, 2022 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.

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.

Verify at the official NPI Registry.