Madeline Rose Springer, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

106241 Issued in MN

Practice address

19230 Larkspur Ave N
Marine on Saint Croix, MN 55047-9696

Phone

(651) 472-6597

NPI assigned

May 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1588377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588377600000",
    "number": "1376164244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19230 LARKSPUR AVE N",
            "city": "MARINE ON SAINT CROIX",
            "state": "MN",
            "postal_code": "550479696",
            "telephone_number": "651-472-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19230 LARKSPUR AVE N",
            "city": "MARINE ON SAINT CROIX",
            "state": "MN",
            "postal_code": "550479696",
            "telephone_number": "651-472-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "MADELINE",
        "middle_name": "ROSE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-02",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "106241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "106241",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "magsspringer@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "19230 Larkspur Ave N",
            "city": "Marine ON Saint Croix",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550479696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Jean Feil, PHD, LP
• Kathleen J. Feil, PHD, LP, PLC
• Marine Area Community School
• Marine Village School
• Kathryn Ocanas

• Occupational Therapist in Marine on Saint Croix, MN
• Providers in Marine on Saint Croix, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.