Individual provider Active NPI

Anneri Jazmin Maduro, OT

  • Occupational Therapist
  • Smithfield, NC
National Provider Identifier
1932730488
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18232 Issued in NC
Practice address
100 Kellie Dr
Smithfield, NC 27577-9444
Phone
(919) 934-1094
Fax
(919) 934-9044
NPI assigned
Feb 3, 2020
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 08922 MD
Occupational Therapist 225X00000X 18232 NC Primary

Addresses

Primary practice location

100 Kellie Dr
Smithfield, NC 27577-9444

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (919) 220-5255

Other practice location 1

14995 Shady Grove Rd Ste 350
Rockville, MD 20850-8726
Phone (301) 251-1433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211014002140 DC Practitioner - Occupational Therapist in Private Practice 0042618878 Reassigns benefits to 2 organizations
I20260130001242 NC Practitioner - Occupational Therapist in Private Practice 0042618878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

100 Kellie Dr
Smithfield, NC 27577-9444
Phone (919) 934-1094

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18232NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Apr 18, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Apr 18, 2022 Accepting new patients
Emergeortho PA Occupational Therapist CurrentSince Jan 12, 2026 Accepting new patients
Centers for Advanced Orthopaedics, LLC Occupational Therapist Current Accepting new patients
Emergeortho PA CurrentSince Jan 12, 2026 Accepting new patients
Active Physical Therapy Services, LLC Occupational Therapist PastSince May 1, 2021 Accepting new patients

Locations

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

14995 Shady Grove Rd
Ste 350
Rockville, MD 20850
Phone (301) 294-0050

910 W Williams St
Apex, NC 27502
Phone (919) 363-1957

2196 Veterans Pkwy
Clayton, NC 27520
Phone (919) 763-1050

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

7608 Purfoy Rd
Fuquay Varina, NC 27526

100 Kellie Dr
Smithfield, NC 27577
Phone (919) 934-1094

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1932730488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "919-220-5255",
            "fax_number": "919-220-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KELLIE DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779444",
            "telephone_number": "919-934-1094",
            "fax_number": "919-934-9044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14995 Shady Grove Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208508726",
            "country_code": "US",
            "telephone_number": "301-251-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADURO",
        "first_name": "ANNERI",
        "middle_name": "JAZMIN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "08922",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "18232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.