Madison Ottenbacher, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010923 Issued in MI

Practice address

79 N Howard Ave
Croswell, MI 48422-1222

Phone

(810) 334-1090

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Talk of the Town SLP L.L.C

  • Speech-Language Pathologist
  • Croswell, MI
  • NPI 1336880988

  MI, Occupational Therapist

  Medicare reassignment Care Compare group NPD

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Talk of the Town SLP LLC 2 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1861082018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WADHAMS RD",
            "city": "KIMBALL",
            "state": "MI",
            "postal_code": "480744313",
            "telephone_number": "810-542-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 N HOWARD AVE",
            "city": "CROSWELL",
            "state": "MI",
            "postal_code": "484221222",
            "telephone_number": "810-334-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Electric Ave",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480606587",
            "country_code": "US",
            "telephone_number": "810-216-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTENBACHER",
        "first_name": "MADISON",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mherfert@primehealthcare.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Prime Healthcare Services-Port Huron LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2601 Electric Ave",
            "city": "Port Huron",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480606587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madison@talkofthetownslp.net",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "79 N Howard Ave",
            "city": "Croswell",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484221222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sherri Metevier
• Loretta A Mullally, MD
• Thomas S Mullally, MD
• Syvanna Lee Nantroup
• Ashley Marie Nelson, OTR/L
• Kellie Lynn Parkinson, LMSW
• Jamie Parrent
• Amber M Ramos
• Elizabeth Roberts
• Philip Rutherford, D.C.

• All providers in Croswell, MI
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.