NPIMap

Individual provider Active NPI

Shannon Marie Madden, OTR/L

  • Occupational Therapist
  • Wappingers Falls, NY
National Provider Identifier
1679708986
Registry record updated May 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
006908 Issued in NY
Practice address
2799 W Main St
Suite B
Wappingers Falls, NY 12590-1577
Phone
(845) 297-9710
Fax
(845) 297-9710
NPI assigned
May 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2009

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 006908 NY Primary

Addresses

Primary practice location

2799 W Main St
Suite B
Wappingers Falls, NY 12590-1577

Mailing address

2799 W Main St
Suite B
Wappingers Falls, NY 12590-1577
Phone (845) 297-9710

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

State licenses

LicenseStateTypeSpecialty
006908NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Occupational Therapy Associates Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242518400000",
    "number": "1679708986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 W MAIN ST",
            "address_2": "SUITE B",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901577",
            "telephone_number": "845-297-9710",
            "fax_number": "845-297-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W MAIN ST",
            "address_2": "SUITE B",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901577",
            "telephone_number": "845-297-9710",
            "fax_number": "845-297-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-17",
        "last_updated": "2009-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2009; 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.