Individual provider Active NPI

Madison Nicole Ray, OTR/L

  • Occupational Therapist
  • Huntsville, AL
National Provider Identifier
1194417014
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6003 Issued in AL
Practice address
113 Longwood Dr SW Ste C
Huntsville, AL 35801-4511
Phone
(256) 886-9443
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 6003 AL Primary

Addresses

Primary practice location

113 Longwood Dr SW Ste C
Huntsville, AL 35801-4511

Mailing address

1101 Legacy Farm Dr SE
Huntsville, AL 35802-2598

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
6003ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Broschart Counseling, LLC CurrentSince Jun 8, 2025 Accepting new patients
Kaleidoscope Therapy, LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

113 Longwood Dr SW
Ste C
Huntsville, AL 35801
Phone (256) 384-3400

Organizations & group practices 2

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1194417014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LEGACY FARM DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LONGWOOD DR SW STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014511",
            "telephone_number": "256-886-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "MADISON",
        "middle_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "6003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.