Individual provider Active NPI

Madison Kaley Markstrom, MSOT, OTR/L

  • Occupational Therapist
  • San Dimas, CA
National Provider Identifier
1396631529
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
221 N San Dimas Ave # 219
San Dimas, CA 91773-2664
Phone
(909) 519-8912
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 CA Primary

Addresses

Primary practice location

221 N San Dimas Ave # 219
San Dimas, CA 91773-2664

Mailing address

238 E Benbow St
Covina, CA 91722-2807
Phone (626) 646-6468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks Therapy 4 Kids, LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

221 N San Dimas Ave
#219
San Dimas, CA 91773
Phone (909) 519-8912

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1396631529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 E BENBOW ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917222807",
            "telephone_number": "626-646-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N SAN DIMAS AVE # 219",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732664",
            "telephone_number": "909-519-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKSTROM",
        "first_name": "MADISON",
        "middle_name": "KALEY",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.