Madison Elisabeth Nitsch, OTR/L, LAT, ATC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1731 Issued in NE

Practice address

825 Centennial Dr
Chadron, NE 69337-9400

Phone

(308) 432-0232

NPI assigned

May 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1174145502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 COUNTRY CLUB RD",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693377329",
            "telephone_number": "308-991-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CENTENNIAL DR",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693379400",
            "telephone_number": "308-432-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITSCH",
        "first_name": "MADISON",
        "middle_name": "ELISABETH",
        "credential": "OTR/L, LAT,  ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "553",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Chadron, NE
• Providers in Chadron, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.