Individual provider Active NPI

Madison Thomas, OTRL

  • Occupational Therapist
  • Northville, MI
National Provider Identifier
1558154336
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
21500 Haggerty Rd Ste 160
Northville, MI 48167-8992
Phone
(855) 413-2225
NPI assigned
May 26, 2025
Last updated
May 26, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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 NU Primary

Addresses

Primary practice location

21500 Haggerty Rd Ste 160
Northville, MI 48167-8992

Mailing address

2145 Heidi Dr
Oxford, MI 48370-2812
Phone (248) 408-4944

Other practice location 1

13794 21 Mile Rd
Shelby Township, MI 48315-4854
Phone (586) 532-2100

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

NPI Registry JSON

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1558154336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 HEIDI DR",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483702812",
            "telephone_number": "248-408-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21500 HAGGERTY RD STE 160",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481678992",
            "telephone_number": "855-413-2225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13794 21 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Township",
            "state": "MI",
            "postal_code": "483154854",
            "country_code": "US",
            "telephone_number": "586-532-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MADISON",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.