Individual provider Active NPI

Madison Caron

  • Occupational Therapist
  • St Petersburg, FL
National Provider Identifier
1871367912
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
24459 Issued in FL
Practice address
5042 42ND St S
Saint Petersburg, FL 33711-4720
Phone
(603) 493-7851
NPI assigned
Nov 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3452 NH
Occupational Therapist 225X00000X 24459 FL Primary

Addresses

Primary practice location

5042 42ND St S
Saint Petersburg, FL 33711-4720

Mailing address

10072 12TH Way N Apt 207
Saint Petersburg, FL 33716-4398
Phone (603) 493-7851

Other practice location 1

3823 E State Road 64
Bradenton, FL 34208-9041
Phone (941) 745-5111

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
24459FLMDOccupational Therapist
3452NHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1871367912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10072 12TH WAY N APT 207",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337164398",
            "telephone_number": "603-493-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5042 42ND ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337114720",
            "telephone_number": "603-493-7851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3823 E State Road 64",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342089041",
            "country_code": "US",
            "telephone_number": "941-745-5111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARON",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "3452",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "24459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.