Active NPI
Madison Hughes, OTR/L
- Occupational Therapist
- Gallup, NM
National Provider Identifier
1164812434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2024-0183
- Practice address
- 3720 Church Rock St
Gallup, NM 87301-4572 - Phone
- (316) 214-4542
- NPI assigned
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | T-04097 | KS | |
| Occupational Therapist | 225X00000X | OT02273 | RI | |
| Occupational Therapist | 225X00000X | OT-2024-0183 | NM | Primary |
| Occupational Therapist | 225X00000X | OT009044 | GA | |
| Occupational Therapist | 225X00000X | 17-03512 | KS | |
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
3720 Church Rock St
Gallup, NM 87301-4572
Mailing address
105 Mulberry St
Cottonwood Falls, KS 66845-9757
Phone (316) 214-4542
Other practice location 1
1130 N B St
Wellington, KS 67152-4230
Phone (316) 214-4542
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
| License | State | Type | Specialty |
|---|---|---|---|
| T-04097 | KS | MD | Occupational Therapy Assistant |
| OT009044 | GA | MD | Occupational Therapist |
| 17-03512 | KS | MD | Occupational Therapist |
| OT-2024-0183 | NM | MD | Occupational Therapist |
| OT02273 | RI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1164812434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MULBERRY ST",
"city": "COTTONWOOD FALLS",
"state": "KS",
"postal_code": "668459757",
"telephone_number": "316-214-4542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 CHURCH ROCK ST",
"city": "GALLUP",
"state": "NM",
"postal_code": "873014572",
"telephone_number": "316-214-4542"
}
],
"practiceLocations": [
{
"address_1": "1130 N B St",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "KS",
"postal_code": "671524230",
"country_code": "US",
"telephone_number": "316-214-4542",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUGHES",
"first_name": "MADISON",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KS",
"license": "T-04097",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT02273",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "OT-2024-0183",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT009044",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-03512",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.