Individual provider Active NPI

Maddison Linn, COTA

  • Occupational Therapy Assistant
  • Naples, FL
National Provider Identifier
1285352716
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA18894 Issued in FL
Practice address
501 Goodlette-Frank Rd N Ste D302
Naples, FL 34102-5664
Phone
(239) 285-5651
Fax
(239) 315-4125
NPI assigned
Aug 19, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 Assistant 224Z00000X OTA18894 FL Primary

Addresses

Primary practice location

501 Goodlette-Frank Rd N Ste D302
Naples, FL 34102-5664

Mailing address

501 Goodlette-Frank Rd N Ste D302
Naples, FL 34102-5664
Phone (239) 285-5651

Other identifiers 1

IdentifierTypeStateIssuer
OTA18894OtherFLDEPARTMENT OF HEALTH

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
OTA18894FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Time to Thrive Children's Therapy CurrentSince Aug 28, 2022 Accepting new patients

Locations

501 Goodlette Rd
Ste D302
Naples, FL 34102
Phone (239) 285-5651

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1285352716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GOODLETTE-FRANK RD N STE D302",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025664",
            "telephone_number": "239-285-5651",
            "fax_number": "239-315-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GOODLETTE-FRANK RD N STE D302",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025664",
            "telephone_number": "239-285-5651",
            "fax_number": "239-315-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINN",
        "first_name": "MADDISON",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA18894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "OTA18894",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.