Madison Glidden, OTR/L, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0006122 Issued in CO

Practice address

700 Main St
Wray, CO 80758-1739

Phone

(970) 332-3471

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Madison Harpenau Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/ntTIZxOIDS2tB2PUqr33FYQo0UWd2W9R/

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.

• Wray Community District Hospital

  • General Practice Physician
  • Wray, CO
  • NPI 1477587202

  CO

  Medicare reassignment NPD
• Wray Community District Hospital

  • Critical Access Hospital
  • Wray, CO
  • NPI 1083640239
  NPD
• Lemars Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Le Mars, IA
  • NPI 1356556898
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1902454697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 W 7TH ST",
            "city": "WRAY",
            "state": "CO",
            "postal_code": "807581420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MAIN ST",
            "city": "WRAY",
            "state": "CO",
            "postal_code": "807581739",
            "telephone_number": "970-332-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLIDDEN",
        "first_name": "MADISON",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0006122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Cerner",
            "affiliation": "Y",
            "affiliationName": "Wray Community District Hospital",
            "address_1": "1017 W 7th St",
            "city": "Wray",
            "state": "CO",
            "country_code": "US",
            "postal_code": "807581420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "HARPENAU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oralee L Ekberg, D.O.
• Christina English, RDN
• Foltmer Drug LLC
• Resa J Gardner, DDS
• Rosalie Gibb
• Great Plains Anesthesia, LLC
• Michael R Hajek, MD
• Heather Hasenauer, RN
• Healthone Clinic Services - Orthopedic Specialists LLC
• Healthone Heart Care LLC

• All providers in Wray, CO
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.