Patricia Jean Madison, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

103304 Issued in MN

Practice address

2399 Ariel St N
Suite a
Maplewood, MN 55109-2203

Phone

(651) 773-0354

Fax

(651) 773-0371

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Children'S Theraplay, LLC

  • Pediatric Occupational Therapist
  • Maplewood, MN
  • NPI 1215104393
  Medicare reassignment
• Associated Speech and Language Specialists LLC

  • Speech-Language Pathologist
  • St Paul, MN
  • NPI 1881636223
  NPD (past)

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1629133517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 ARIEL ST N",
            "address_2": "SUITE A",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092203",
            "telephone_number": "651-773-0354",
            "fax_number": "651-773-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2399 ARIEL ST N",
            "address_2": "SUITE A",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092203",
            "telephone_number": "651-773-0354",
            "fax_number": "651-773-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "PATRICIA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "103304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatiana Lyons, AUD
• Elise Vanett Mackenzie, P.T.
• Joshua Landon Mackner, OD
• Seema Maddali, MD
• Kayla Jean Madison
• Zohreh Mahdavi, M.D.
• Megan Lauren Mahoney, PA
• Maize LLC
• Joseph Lee Malhoit III, LPCC
• Mary Manelli, APRN, CNP

• Pediatric Occupational Therapist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.

Verify at the official NPI Registry.