Active NPI
Madisyn Morrow, OTD, OTR/L
- Occupational Therapist
- North Mankato, MN
National Provider Identifier
1043011018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 107643
- Practice address
- 2101 Rolling Green LN
North Mankato, MN 56003-4442 - Phone
- (507) 225-8118
- NPI assigned
- Mar 24, 2025
- Last updated
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 107643 | MN | Primary |
Addresses
Primary practice location
2101 Rolling Green LN
North Mankato, MN 56003-4442
Mailing address
5860 Baker Rd
Minnetonka, MN 55345-5903
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107643 | Other | MN | OTR/L |
| 524089 | Other | NBCOT | |
| 8777-26 | Other | WI | OTR/L |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107643 | MN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Opportunities Foundation | Current | Accepting new patients |
Locations
5860 Baker Rd
Minnetonka, MN 55345
Phone (612) 759-2697
5868 Baker Rd
Minnetonka, MN 55345
Phone (612) 245-5933
Organizations & group practices 1
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": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1043011018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5860 BAKER RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553455903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 ROLLING GREEN LN",
"city": "NORTH MANKATO",
"state": "MN",
"postal_code": "560034442",
"telephone_number": "507-225-8118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORROW",
"first_name": "MADISYN",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-24",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "107643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTR/L",
"identifier": "107643",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "524089",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTR/L",
"identifier": "8777-26",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.