Madelyn Nicole Porrez

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1204 Linden St
Dallas Center, IA 50063-1052

Phone

(515) 992-3735

NPI assigned

Mar 25, 2025

Last updated

May 29, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fox Rehab OT Ia LLC

  • Occupational Therapist
  • Norwalk, IA
  • NPI 1073274585
  Medicare reassignment NPD
• Rehabvisions Therapy NE, LLC

  dba RehabVisions

  • Physical Therapist
  • West Des Moines, IA
  • NPI 1174119127

  Occupational Therapist

  Medicare reassignment NPD
• Rehabvisions Therapy NE, LLC

  dba Aging Well

  • Physical Therapist
  • Dickinson, ND
  • NPI 1720791361

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1689476350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11623 ARBOR ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 LINDEN ST",
            "city": "DALLAS CENTER",
            "state": "IA",
            "postal_code": "500631052",
            "telephone_number": "515-992-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORREZ",
        "first_name": "MADELYN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehab OT IA LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2901 Cedar St",
            "city": "Norwalk",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502119736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Malinda Mae Elliott
• Jacklyn Leann Faaborg, OTR/L
• Danielle Elizabeth Grove, COTA
• Heg-Jorg Inc (Medicap Pharmacy)
• Mary Margaret Nugent, O.T.R./L
• Steven Edward Schlafke
• Jill Schmidt, ARNP
• Sheri Schroeder, PA-C
• Stew Sierck, PTA
• Spurgeon Manor, Inc.

• Occupational Therapist in Dallas Center, IA
• Providers in Dallas Center, IA by specialty
• Occupational Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.