Madison Nicole Dewey, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0008668 Issued in CO

Practice address

3434 47TH St Ste 100
Boulder, CO 80301-1817

Phone

(303) 620-6987

NPI assigned

Aug 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1346896586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 GRANDVIEW MDWS DR APT Q208",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037775",
            "telephone_number": "719-314-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 47TH ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011817",
            "telephone_number": "303-620-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "MADISON",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0008668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Developmental Disabilities Center
• Carla Devenpeck, DPT
• Anne Devereux
• Paula Devillier, LMT
• James F. Dewey, M.ED.
• Joshua W. Dewitt
• Mark Anthony Dewolf, MA, LPC, NCC
• Avninder S Dhaliwal, MD
• Kristy Dhaliwal, D.D.S.
• Maria Grazia Di Giorgio, MA, LPC

• Occupational Therapist in Boulder, CO
• Providers in Boulder, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.