Active NPI
Madhur Puri
- Occupational Therapist
- Brandywine, MD
National Provider Identifier
1881079457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 07024
- Practice address
- 13950 Brandywine Rd
Brandywine, MD 20613-5815 - Phone
- (301) 782-2220
- NPI assigned
- Jul 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006870 | GA | |
| Occupational Therapist | 225X00000X | 07024 | MD | Primary |
Addresses
Primary practice location
13950 Brandywine Rd
Brandywine, MD 20613-5815
Mailing address
13950 Brandywine Rd
Brandywine, MD 20613-5815
Phone (716) 464-0574
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 |
|---|---|---|---|
| OT006870 | GA | MD | Occupational Therapist |
| 07024 | MD | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1881079457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13950 BRANDYWINE RD",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206135815",
"telephone_number": "716-464-0574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13950 BRANDYWINE RD",
"city": "BRANDYWINE",
"state": "MD",
"postal_code": "206135815",
"telephone_number": "301-782-2220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURI",
"first_name": "MADHUR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-24",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006870",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "07024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandywine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.