Madison McCann, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21666 Issued in CA

Practice address

22691 Lambert St Ste 502
Lake Forest, CA 92630-1614

Phone

(949) 273-6503

NPI assigned

Sep 14, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Infinity Kids Corporation

  • Occupational Therapist
  • Lake Forest, CA
  • NPI 1730673153
  NPD (past)

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1922778745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 BEDFORD LN APT 7",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926604753",
            "telephone_number": "949-500-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22691 LAMBERT ST STE 502",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926301614",
            "telephone_number": "949-273-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "MADISON",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Ann Mattice, MSN, FNP
• Sheryl Mattson
• Maxrelax Zen Inc.
• Mazzy Development Center
• Kelly Michael McCall
• Jana McCarthy, LVN
• Jayden McClaren
• Carolyn Anna McClung
• Katherine Lynne McCormick, LCSW
• Lisa May McCurry, LMFT

• Occupational Therapist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.