Individual provider Active NPI

Madelyn Elizabeth Wengyn, OTD

  • Occupational Therapist
  • Lakeland, FL
National Provider Identifier
1609601194
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT25646 Issued in FL
Practice address
4725 US Highway 98 S Ste 101102
Lakeland, FL 33812-4334
Phone
(863) 328-5410
NPI assigned
Sep 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 OT25646 FL Primary

Addresses

Primary practice location

4725 US Highway 98 S Ste 101102
Lakeland, FL 33812-4334

Mailing address

2609 Durant Woods St
Valrico, FL 33596-5935
Phone (813) 507-0866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024001833 FL Practitioner - Occupational Therapist in Private Practice 8224561691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4725 US Hwy 98 S
Suite 101 102
Lakeland, FL 33812-4334
Phone (813) 978-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT25646FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III PL CurrentSince Oct 14, 2024 Accepting new patients
Musculoskeletal Institute Chartered CurrentSince Oct 12, 2024 Accepting new patients
Musculoskeletal Institute Chartered Occupational Therapist CurrentSince Oct 12, 2024 Accepting new patients
Musculoskeletal Institute Chartered Occupational Therapist Current Accepting new patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Oct 14, 2024 Accepting new patients
Coastal Orthopedics & Sports Medicine of Southwest Florida PA Past Accepting new patients
Musculoskeletal Institute Chartered Past Accepting new patients

Locations

4725 US Highway 98 S
Ste 101102
Lakeland, FL 33812
Phone (863) 274-9700

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

Organizations & group practices 7

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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1609601194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 DURANT WOODS ST",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335965935",
            "telephone_number": "813-507-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 US HIGHWAY 98 S STE 101102",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338124334",
            "telephone_number": "863-328-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGYN",
        "first_name": "MADELYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT25646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.