Individual provider Active NPI

Madison McGill, OT

  • Occupational Therapist
  • Layton, UT
National Provider Identifier
1295462653
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13798410-4201 Issued in UT
Practice address
1992 W Antelope Dr Ste 1D
Layton, UT 84041-4974
Phone
(801) 773-2633
Fax
(801) 773-1553
NPI assigned
Aug 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 480281 TX
Occupational Therapist 225X00000X 13798410-4201 UT Primary

Addresses

Primary practice location

1992 W Antelope Dr Ste 1D
Layton, UT 84041-4974

Mailing address

1992 W Antelope Dr Ste 1D
Layton, UT 84041-4974
Phone (801) 773-2633

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240419002154 UT Practitioner - Occupational Therapist in Private Practice 1052750288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1992 W Antelope Dr
Suite 1D
Layton, UT 84041-4974
Phone (801) 866-9766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
480281TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Hand Therapy Limited Partnership Occupational Therapist CurrentSince Apr 1, 2024 Accepting new patients
Summit Hand Therapy Limited Partnership Occupational Therapist CurrentSince Apr 1, 2024 Accepting new patients
Mountain Land Rehabilitation LLC Occupational Therapist Past Accepting new patients
Summit Hand Therapy Past Accepting new patients

Locations

1551 Renaissance Towne Dr
Ste 440
Bountiful, UT 84010
Phone (801) 683-8040

984 S 500 W
Ste 3
Brigham City, UT 84302
Phone (435) 237-1471

1448 N 2000 W
Ste 7
Clinton, UT 84015
Phone (801) 217-3510

1992 W Antelope Dr
Ste 1D
Layton, UT 84041
Phone (801) 773-2633

67 S Main St
Ste 140
Layton, UT 84041
Phone (801) 773-2633

2850 N 2000 W
Ste 202
Ogden, UT 84404
Phone (801) 689-2389

Organizations & group practices 4

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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1295462653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1992 W ANTELOPE DR STE 1D",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414974",
            "telephone_number": "801-773-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1992 W ANTELOPE DR STE 1D",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414974",
            "telephone_number": "801-773-2633",
            "fax_number": "801-773-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "MADISON",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "480281",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "13798410-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.