Individual provider Active NPI

Madison Shaw

  • Occupational Therapy Assistant
  • Webster, TX
National Provider Identifier
1235868266
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
617 Cole St
Webster, TX 77598-4903
Phone
(281) 824-1000
Fax
(281) 562-7840
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X Primary

Addresses

Primary practice location

617 Cole St
Webster, TX 77598-4903

Mailing address

199 Blossom St Ste B
Webster, TX 77598-4415

Other practice location 1

199 Blossom St Ste B
Webster, TX 77598-4415
Phone (281) 824-1000

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wells Allergy and Pediatric Associates, PLLC Single Specialty CurrentSince Oct 23, 2022 Accepting new patients
Swallowing and Speech Services, PLLC Single Specialty CurrentSince Oct 23, 2022 Accepting new patients

Locations

617 Cole St
Webster, TX 77598
Phone (281) 338-6509

199 Blossom St
Ste B
Webster, TX 77598
Phone (281) 338-0700

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1235868266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 BLOSSOM ST STE B",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 COLE ST",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984903",
            "telephone_number": "281-824-1000",
            "fax_number": "281-562-7840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 Blossom St Ste B",
            "address_purpose": "LOCATION",
            "city": "Webster",
            "state": "TX",
            "postal_code": "775984415",
            "country_code": "US",
            "telephone_number": "281-824-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.