Individual provider Active NPI

Danielle Rae Ruzicka, OT

  • Occupational Therapist
  • Madelia, MN
National Provider Identifier
1689304750
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
104904 Issued in MN
Practice address
121 Drew Ave SE
Madelia, MN 56062-1841
Phone
(507) 642-3255
NPI assigned
Jun 13, 2022
Last updated
Sep 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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 104904 MN Primary

Addresses

Primary practice location

121 Drew Ave SE
Madelia, MN 56062-1841

Mailing address

2 Crystal CT
Saint James, MN 56081-2045
Phone (507) 317-7276

Other names 1

  • Danielle Rae Hildebrandt Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818001706 SD Practitioner - Occupational Therapist in Private Practice 6406239748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minds Matter PLLCGroup PAC ID 3870959042, 4 clinicians

Practice addresses (Care Compare)

405 8TH Ave NW
Suite 303
Aberdeen, SD 57401-2700
Phone (605) 725-2828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Luke's Current Accepting new patients
Avera St Lukes CurrentSince Aug 1, 2022 Accepting new patients
Avera St. Lukes CurrentSince Aug 1, 2022 Accepting new patients
Minds Matter PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

305 S State St
Aberdeen, SD 57401
Phone (605) 229-3000

405 8th Ave NW
Ste 303
Aberdeen, SD 57401
Phone (605) 725-2828

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1689304750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CRYSTAL CT",
            "city": "SAINT JAMES",
            "state": "MN",
            "postal_code": "560812045",
            "telephone_number": "507-317-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DREW AVE SE",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621841",
            "telephone_number": "507-642-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZICKA",
        "first_name": "DANIELLE",
        "middle_name": "RAE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "104904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "HILDEBRANDT",
            "middle_name": "RAE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madelia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.