Active NPI
Madison Harwood
- Pediatric Occupational Therapist
- Saco, ME
National Provider Identifier
1730733445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT3719
- 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
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| OT3719 | ME | MD | Pediatric 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.