Maddison P Pickering, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

029456 Issued in NY

Practice address

240 North Ave
Penn Yan, NY 14527-1052

Phone

(315) 694-7676

NPI assigned

Sep 10, 2024

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1609602382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7428 COUNTY ROAD 12",
            "city": "NAPLES",
            "state": "NY",
            "postal_code": "145129209",
            "telephone_number": "585-208-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NORTH AVE",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271052",
            "telephone_number": "315-694-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKERING",
        "first_name": "MADDISON",
        "middle_name": "P",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "029456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penn Yan Optometry PC
• Penn Yan Physical Therapy P.C.
• Anthony J Petrucci, P.T.
• Danielle Pfeiffer, LMSW
• Ross Spencer Phippen Jr., DMD
• Joshua Pritchard, OTR/L
• Shannon Proctor, NP
• Lydia Kay Rank, LPN
• Christina Mellissa Rekczis, MAED/TL
• Nancy Jo Rembaum, CRNA

• Occupational Therapist in Penn Yan, NY
• Providers in Penn Yan, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.