National Provider Identifier
Madison Heide
Madison Heide is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1750241212
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- November 17, 2025
- Last Updated
- November 17, 2025
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 83 Diane Dr
- Buffalo, NY 14225-3601
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1750241212
- Entity Type
- Individual
- Last Name
- Heide
- First Name
- Madison
- Mailing Street Address
- 83 Diane Dr
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14225-3601
- Mailing Country
- US
- Mailing Phone
- (716) 548-2182
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- November 17, 2025
- Last Updated
- November 17, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)