Individual provider Active NPI

Miranda Dawn Riffle, OTR/L

  • Occupational Therapist
  • Rochester, MN
National Provider Identifier
1629208491
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
107467 Issued in MN
Practice address
1900 Ballington Blvd NW
Rochester, MN 55901-5202
Phone
(507) 322-5514
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1389 WV
Occupational Therapist 225X00000X 107467 MN Primary
Occupational Therapist 225X00000X 31007825A IN

Addresses

Primary practice location

1900 Ballington Blvd NW
Rochester, MN 55901-5202

Mailing address

520 Mulligan Drive
Zumbrota, MN 55992
Phone (219) 805-2539

Other names 1

  • Miranda Dawn Morgan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240806001623 MN Practitioner - Occupational Therapist in Private Practice 2668919853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
West Virginia University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Odom Sports Medicine PAGroup PAC ID 0143485607, 63 clinicians

Practice addresses (Care Compare)

6545 Flying Cloud Dr
Suite 201
Eden Prairie, MN 55344-3356
Phone (952) 224-1919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31007825AINMDOccupational Therapist
107467MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Odom Sports Medicine, P.a. CurrentSince Sep 9, 2024 Accepting new patients
Big Stone Therapies Montague LLC Past Accepting new patients
Legacy Primary Care PLLC PastSince Jul 7, 2024 Accepting new patients

Locations

6545 Flying Cloud Dr
Ste 201
Eden Prairie, MN 55344
Phone (612) 364-1901

10653 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
Phone (612) 364-1901

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1629208491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MULLIGAN DRIVE",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "55992",
            "telephone_number": "219-805-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BALLINGTON BLVD NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015202",
            "telephone_number": "507-322-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFFLE",
        "first_name": "MIRANDA",
        "middle_name": "DAWN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1389",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "107467",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007825A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "MORGAN",
            "middle_name": "DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.