Active NPI
Madison Anne Eouse, OTR/L
- Occupational Therapist
- Orlando, FL
National Provider Identifier
1710442223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT19792
- Practice address
- 4680 Lake Underhill Rd
Orlando, FL 32807-1182 - Phone
- (407) 381-0907
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT19792 | FL | Primary |
Addresses
Primary practice location
4680 Lake Underhill Rd
Orlando, FL 32807-1182
Mailing address
9275 Point Cypress Dr
Orlando, FL 32836-5480
Other practice location 1
7758 Wallace Rd Ste 1
Orlando, FL 32819-7217
Phone (407) 277-5400
Other practice location 2
331 N Maitland Ave
Maitland, FL 32751-4762
Phone (407) 543-8383
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT19792 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1710442223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9275 POINT CYPRESS DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4680 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328071182",
"telephone_number": "407-381-0907"
}
],
"practiceLocations": [
{
"address_1": "7758 Wallace Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328197217",
"country_code": "US",
"telephone_number": "407-277-5400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "331 N Maitland Ave",
"address_purpose": "LOCATION",
"city": "Maitland",
"state": "FL",
"postal_code": "327514762",
"country_code": "US",
"telephone_number": "407-543-8383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EOUSE",
"first_name": "MADISON",
"middle_name": "ANNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-08",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT19792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.