MADILYN DOUGLAS OTD, OTR/L
NPI 1407748791
Occupational Therapist in Fremont, CA

Active since July 19, 2025
2000 MOWRY AVE, FREMONT, CA 94538(510) 797-1111 Get Directions Write a Review

NPPES record last updated: July 19, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Madilyn Douglas Otd, Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADILYN DOUGLAS OTD, OTR/L (NPI 1407748791) is an individual occupational therapist in Fremont, California, licensed in California (23868) and active in the NPI registry since July 2025. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1407748791
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMADILYN DOUGLASCredential: OTD, OTR/L
Location Address2000 MOWRY AVEFremont, CA 94538-1716
Mailing Address130 Stockton Ave Apt 622San Jose, CA 95126-2846 · (814) 494-2450
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 19, 2025
NPPES CertifiedJuly 19, 2025
NPI 1407748791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in CA · 23868
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
2000 MOWRY AVE, Fremont, CA 94538

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Madilyn Douglas Otd, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840782728
PECOS Enrollment IDI20251127000152

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Perfusionist
2000 MOWRY AVE
FREMONT, CA 94538
Nurse Practitioner (Family)
2000 MOWRY AVE
FREMONT, CA 94538
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
2000 MOWRY AVE, CENTER FOR JOINT REPLACEMENT BLDG
FREMONT, CA 94538
Nurse Practitioner (Family)
2000 MOWRY AVE
FREMONT, CA 94538
Internal Medicine
2000 MOWRY AVE
FREMONT, CA 94538
Radiology (Vascular & Interventional Radiology)
2000 MOWRY AVE
FREMONT, CA 94538
Internal Medicine
2000 MOWRY AVE
FREMONT, CA 94538
Pediatrics
2000 MOWRY AVE
FREMONT, CA 94538

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madilyn Douglas's NPI number?

The NPI number for Madilyn Douglas is 1407748791. It was assigned to this individual provider in the NPPES registry on July 19, 2025.

Where is Madilyn Douglas located?

Madilyn Douglas practices at 2000 Mowry Ave, Fremont, CA 94538. The listed phone number is (510) 797-1111.

What is Madilyn Douglas's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Madilyn Douglas enrolled in Medicare?

Yes. Madilyn Douglas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madilyn Douglas was last updated on July 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.