Individual provider Active NPI

Madison Harwood

  • Pediatric Occupational Therapist
  • Saco, ME
National Provider Identifier
1730733445
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT3719 Issued in ME
Practice address
135 Middle Street Ext
Saco, ME 04072-2804
Phone
(207) 284-5081
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT3719 ME Primary

Addresses

Primary practice location

135 Middle Street Ext
Saco, ME 04072-2804

Mailing address

90 Beach St
Saco, ME 04072-2812

Other practice location 1

180 Mount Auburn Ave
Auburn, ME 04210-8565
Phone (207) 241-0085

Other practice location 2

655 Main St
Lewiston, ME 04240-5938
Phone (207) 376-3311

Other practice location 3

415 Rodman Rd
Auburn, ME 04210-3942
Phone (207) 376-3022

Other names 1

  • Madison Van Cleave Former name

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
OT3719MEMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1730733445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BEACH ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MIDDLE STREET EXT",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722804",
            "telephone_number": "207-284-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Mount Auburn Ave",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042108565",
            "country_code": "US",
            "telephone_number": "207-241-0085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 Main St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042405938",
            "country_code": "US",
            "telephone_number": "207-376-3311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Rodman Rd",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042103942",
            "country_code": "US",
            "telephone_number": "207-376-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARWOOD",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT3719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "VAN CLEAVE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.