Individual provider Active NPI

Madison Sutton

  • Occupational Therapist
  • Peabody, MA
National Provider Identifier
1215557707
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13563 Issued in MA
Practice address
96 Forest St
Peabody, MA 01960-3907
Phone
(978) 532-0303
NPI assigned
Apr 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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 13563 MA Primary

Addresses

Primary practice location

96 Forest St
Peabody, MA 01960-3907

Mailing address

1810 Commonwealth Ave Apt 5
Brighton, MA 02135-5509
Phone (484) 682-8032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924001643 NY Practitioner - Occupational Therapist in Private Practice 5395240071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutton Place Physical Therapy PCGroup PAC ID 8921999046, 13 clinicians

Practice addresses (Care Compare)

333 E 56TH St
New York, NY 10022-3758
Phone (212) 317-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13563MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sutton Place Physical Therapy PC CurrentSince Jul 19, 2025 Accepting new patients

Locations

333 E 56th St
Ofc 1
New York, NY 10022
Phone (212) 289-3236

333 E 56th St
New York, NY 10022
Phone (212) 308-2540

Organizations & group practices 1

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1215557707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 COMMONWEALTH AVE APT 5",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355509",
            "telephone_number": "484-682-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 FOREST ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603907",
            "telephone_number": "978-532-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "MADISON",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.