Individual provider Active NPI

Erin Nicole Recreo Madarang, OT

  • Occupational Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1710611678
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23874 Issued in CA
Practice address
9405 Fairway View PL
Rancho Cucamonga, CA 91730-0932
Phone
(909) 481-7345
NPI assigned
Jul 14, 2022
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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 23874 CA Primary

Addresses

Primary practice location

9405 Fairway View PL
Rancho Cucamonga, CA 91730-0932

Mailing address

14249 Village Park PL
Chino Hills, CA 91709-1783
Phone (909) 455-4745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260510000054 NJ Practitioner - Occupational Therapist in Private Practice 0941778781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

269 Stevens Ave
Jersey City, NJ 07305-1322

391 Danforth Ave
Jersey City, NJ 07305-1984

543 Valley Rd
Suite 8
Montclair, NJ 07043-1881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 2

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": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1710611678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14249 VILLAGE PARK PL",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091783",
            "telephone_number": "909-455-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 FAIRWAY VIEW PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300932",
            "telephone_number": "909-481-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADARANG",
        "first_name": "ERIN NICOLE",
        "middle_name": "RECREO",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.