Active NPI
Madelyne Luddy, OTD, OTR/L
- Occupational Therapist
- Royal Oak, MI
National Provider Identifier
1992422273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201013139
- Practice address
- 28000 Woodward Ave
Royal Oak, MI 48067-0960 - Phone
- (248) 395-3777
- NPI assigned
- Oct 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201013139 | MI | Primary |
Addresses
Primary practice location
28000 Woodward Ave
Royal Oak, MI 48067-0960
Mailing address
2322 Elmhurst Ave
Royal Oak, MI 48073-3861
Phone (248) 840-8508
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 |
|---|---|---|---|
| 5201013139 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcall of Detroit | Current | Accepting new patients | |
| Healthcall of Detroit | Current | Accepting new patients |
Locations
28000 Woodward Ave
Ste 100
Royal Oak, MI 48067
Phone (248) 395-3777
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1992422273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 ELMHURST AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480733861",
"telephone_number": "248-840-8508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28000 WOODWARD AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480670960",
"telephone_number": "248-395-3777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDDY",
"first_name": "MADELYNE",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-26",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201013139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.