Individual provider Active NPI

Madison Bell, MS OTR/L

  • Occupational Therapist
  • Hannibal, NY
National Provider Identifier
1699491589
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
027670 Issued in NY
Practice address
928 Cayuga St
Hannibal, NY 13074-3138
Phone
(315) 561-8400
NPI assigned
Oct 13, 2022
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 118109-01 NY
Occupational Therapist 225X00000X 027670 NY Primary

Addresses

Primary practice location

928 Cayuga St
Hannibal, NY 13074-3138

Mailing address

14400 Westbay Rd.
Sterling, NY 13156
Phone (315) 529-9606

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbell@littlelukes.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112002601 NY Practitioner - Occupational Therapist in Private Practice 7618401795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
027670NYMDOccupational Therapist
118109-01NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Shine Physical Occupational and Speech Therapy PLLC Occupational Therapist CurrentSince Sep 6, 2024 Accepting new patients

Locations

3400 Vickery Rd
Ste E
Syracuse, NY 13212
Phone (315) 214-4482

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": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1699491589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 WESTBAY RD.",
            "city": "STERLING",
            "state": "NY",
            "postal_code": "13156",
            "telephone_number": "315-529-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 CAYUGA ST",
            "city": "HANNIBAL",
            "state": "NY",
            "postal_code": "130743138",
            "telephone_number": "315-561-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "MADISON",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "118109-01",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbell@littlelukes.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "928 Cayuga St",
            "city": "Hannibal",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130743138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hannibal, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.