Individual provider Active NPI

Madeline M Redohl, MOT, OTR/L

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1497345854
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
7288-26 Issued in WI
Practice address
5201 Mid America PLZ Ste 2600
Saint Louis, MO 63129-0002
Phone
(314) 487-7000
Fax
(314) 487-7001
NPI assigned
Jan 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X MO
Occupational Therapist 225X00000X 7288-26 WI Primary

Addresses

Primary practice location

5201 Mid America PLZ Ste 2600
Saint Louis, MO 63129-0002

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210413000248 IL Practitioner - Occupational Therapist in Private Practice 2163837741 Reassigns benefits to 1 organization
I20220531002064 WI Practitioner - Occupational Therapist in Private Practice 2163837741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Plus Management Corp Occupational Therapist CurrentSince Sep 1, 2024 Accepting new patients
Athletico LTD Occupational Therapist CurrentSince May 19, 2022 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

700 Pilgrim Pkwy
Ste L8
Elm Grove, WI 53122
Phone (262) 289-1950

5708 75th St
#B
Kenosha, WI 53142
Phone (262) 697-9135

241 N Broadway
Ste 403
Milwaukee, WI 53202
Phone (262) 796-2850

2615 N Downer Ave
Milwaukee, WI 53211
Phone (414) 962-4400

3077 N Mayfair Rd
Ste 105
Wauwatosa, WI 53222
Phone (414) 455-5797

140 E Water St
West Bend, WI 53095
Phone (262) 305-8834

Interoperability endpoints

  • Direct secure messaging: madeline.redohl.p7@direct.athleticoltd.nextgenshare.com
  • Direct secure messaging: madeline.redohl.p2@direct.athleticoltd.nextgenshare.com
  • Direct secure messaging: madeline.redohl.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 3

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1497345854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 MID AMERICA PLZ STE 2600",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631290002",
            "telephone_number": "314-487-7000",
            "fax_number": "314-487-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDOHL",
        "first_name": "MADELINE",
        "middle_name": "M",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "7288-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.