Individual provider Active NPI

Madalyn Sue O'Reilly, OTR/L

  • Occupational Therapist
  • Northfield, MN
National Provider Identifier
1013780857
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
107343 Issued in MN
Practice address
1605 Heritage Dr Ste 369
Northfield, MN 55057-3265
Phone
(651) 433-1918
Fax
(952) 683-1746
NPI assigned
Nov 2, 2023
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 107343 MN Primary

Addresses

Primary practice location

1605 Heritage Dr Ste 369
Northfield, MN 55057-3265

Mailing address

1939 Minnehaha Ave W Ste 300
Saint Paul, MN 55104-1033
Phone (651) 748-4338

Other practice location 1

15160 Foliage Ave Ste 170
Apple Valley, MN 55124-5916
Phone (952) 683-1745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104001598 MN Practitioner - Occupational Therapist in Private Practice 9931550910 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6050MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Partners, Inc. Occupational Therapist CurrentSince Nov 13, 2023 Accepting new patients
Therapy Partners Inc Occupational Therapist CurrentSince Nov 13, 2023 Accepting new patients

Locations

1351 Larc Industrial Blvd
Burnsville, MN 55337
Phone (952) 683-1745

1605 Heritage Dr
Ste 369
Northfield, MN 55057
Phone (651) 433-1918

1499 Hay Creek Valley Rd
Red Wing, MN 55066
Phone (507) 951-8822

15160 Foliage Ave
Ste 170
Saint Paul, MN 55124
Phone (952) 683-1745

1939 Minnehaha Ave W
Ste 300
Saint Paul, MN 55104

1700 Tower Dr W
Stillwater, MN 55082
Phone (651) 275-4706

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1013780857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 MINNEHAHA AVE W STE 300",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041033",
            "telephone_number": "651-748-4338",
            "fax_number": "651-748-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 HERITAGE DR STE 369",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573265",
            "telephone_number": "651-433-1918",
            "fax_number": "952-683-1746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15160 Foliage Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551245916",
            "country_code": "US",
            "telephone_number": "952-683-1745",
            "fax_number": "952-683-1746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "MADALYN",
        "middle_name": "SUE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "107343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.