Individual provider Active NPI

Madison Rowlison, OTD, OTR/L

  • Occupational Therapist
  • Las Cruces, NM
National Provider Identifier
1538732649
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT4495 Issued in NM
Practice address
3100 Oak St
Las Cruces, NM 88005-3425
Phone
(575) 222-4589
NPI assigned
Jul 19, 2021
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 OT4495 NM Primary

Addresses

Primary practice location

3100 Oak St
Las Cruces, NM 88005-3425

Mailing address

390 Calle de Alegra Ste C
Las Cruces, NM 88005-3280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211028000684 NM Practitioner - Occupational Therapist in Private Practice 1850789678 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amistad Family Services Inc Occupational Therapist CurrentSince Oct 21, 2021 Accepting new patients

Locations

3100 Oak St
Las Cruces, NM 88005
Phone (575) 323-3354

390 Calle de Alegra
Las Cruces, NM 88005
Phone (575) 556-8150

390 Calle de Alegra
Ste C
Las Cruces, NM 88005
Phone (575) 222-4588

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1538732649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CALLE DE ALEGRA STE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAK ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053425",
            "telephone_number": "575-222-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLISON",
        "first_name": "MADISON",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT4495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.