Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madison Heide

Individual provider Pediatric Occupational Therapist · NPI 1750241212

Madison Heide is an Occupational Therapist in Private Practice in Kenmore, New York. Qualified in 2024, 2 years ago. Practices with Therapy Services PT and OT, a 9-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025
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Practice location Address checks out

3767 Delaware Ave
Kenmore, NY 14217-1040
Phone: (716) 874-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 029321 (NY)

Record details

NPI number1750241212
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 17, 2025
Last updated in NPPESNovember 17, 2025
Certification dateNovember 16, 2025
Mailing address83 Diane Dr, Buffalo, NY 14225-3601

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Therapy Services Pt And Ot — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kenmore