Individual provider Active NPI

Maude Amelia Hudson

  • Occupational Therapist
  • Raleigh, NC
National Provider Identifier
1346730710
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8190 Issued in NC
Practice address
1500 Sawmill Rd
Raleigh, NC 27615-4320
Phone
(919) 848-7000
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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 8190 NC Primary

Addresses

Primary practice location

1500 Sawmill Rd
Raleigh, NC 27615-4320

Mailing address

4008 N Center St Apt 307
Hickory, NC 28601-6926
Phone (980) 621-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230117003051 VA Practitioner - Occupational Therapist in Private Practice 6608247358 Reassigns benefits to 3 organizations
I20230801001279 DC Practitioner - Occupational Therapist in Private Practice 6608247358 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8190NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Sep 20, 2022 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Sep 20, 2022 Accepting new patients
Legacy Healthcare Services, Inc Occupational Therapist CurrentSince Jun 6, 2023 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Oct 14, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Aug 29, 2023 Accepting new patients
Comprehensive Therapeutics LTD Occupational Therapist CurrentSince Oct 14, 2023 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

110 Horizon Dr
#310
Raleigh, NC 27615

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

1500 Sawmill Rd
Raleigh, NC 27615
Phone (919) 848-7000

10286 Brook Rd
Glen Allen, VA 23059
Phone (571) 200-6617

3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500

Organizations & group practices 6

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": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1346730710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 N CENTER ST APT 307",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016926",
            "telephone_number": "980-621-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SAWMILL RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154320",
            "telephone_number": "919-848-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "MAUDE",
        "middle_name": "AMELIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "8190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.