Individual provider Active NPI

Madison Charlton, OTR/L

  • Hand Occupational Therapist
  • Lansing, MI
National Provider Identifier
1992498760
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Practice address
836 Centennial Way Ste 160
Lansing, MI 48917-8238
Phone
(517) 798-3677
NPI assigned
May 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5201013381 MI
Hand Occupational Therapist 225XH1200X Primary

Addresses

Primary practice location

836 Centennial Way Ste 160
Lansing, MI 48917-8238

Mailing address

836 Centennial Way Ste 160
Lansing, MI 48917-8238
Phone (517) 798-3677

Other practice location 1

777 Goguac St W Ste B2
Springfield, MI 49015-2097
Phone (269) 223-7786

Other practice location 2

624 S Cedar St Ste 400
Mason, MI 48854-1590
Phone (517) 898-9664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720003263 MI Practitioner - Occupational Therapist in Private Practice 6103286281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Individualized Quality Therapy LLCGroup PAC ID 9537401302, 4 clinicians

Practice addresses (Care Compare)

836 Centennial Way
Suite 160
Lansing, MI 48917-8238
Phone (517) 798-3677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Individualized Quality Therapy LLC Hand CurrentSince Dec 4, 2023 Accepting new patients
Five Lakes Speech Language and Literacy PastSince Aug 11, 2024 Accepting new patients

Locations

1568 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 657-3533

836 Centennial Way
Ste 160
Lansing, MI 48917
Phone (517) 703-0110

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1992498760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 CENTENNIAL WAY STE 160",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178238",
            "telephone_number": "517-798-3677",
            "fax_number": "517-539-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 CENTENNIAL WAY STE 160",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178238",
            "telephone_number": "517-798-3677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Goguac St W Ste B2",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MI",
            "postal_code": "490152097",
            "country_code": "US",
            "telephone_number": "269-223-7786",
            "fax_number": "269-962-9569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "624 S Cedar St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488541590",
            "country_code": "US",
            "telephone_number": "517-898-9664",
            "fax_number": "517-883-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "MADISON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201013381",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.