Maddie Victoria Engelstad, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

105896 Issued in MN

Practice address

323 S Minnesota St
Crookston, MN 56716-1601

Phone

(218) 281-9463

NPI assigned

Sep 6, 2018

Last updated

Apr 1, 2022By the provider in NPPES

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

Merit-based Incentive Payment System (MIPS)

Final score

88.91 of 100Reported as group

Quality

88.07

Promoting interoperability

100

Improvement activities

40

Cost

74.95

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Riverview Healthcare Association

  • Multi-Specialty Clinic/Center
  • East Grand Forks, MN
  • NPI 1811918436
  Medicare reassignment NPD
• Riverview Healthcare Association

  • Critical Access Hospital
  • Crookston, MN
  • NPI 1477525566
  NPD
• Riverview Healthcare Association

  dba RiverView Rehab Services Fertile

  • Physical Therapy Clinic/Center
  • Fertile, MN
  • NPI 1659045987
  NPD
• Riverview Healthcare Association

  • Multi-Specialty Clinic/Center
  • Thief River Falls, MN
  • NPI 1740473800
  NPD

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1720560600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S MINNESOTA ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161601",
            "telephone_number": "218-281-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S MINNESOTA ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161601",
            "telephone_number": "218-281-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGELSTAD",
        "first_name": "MADDIE",
        "middle_name": "VICTORIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "105896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald C Dorman, MD
• Janelle Lynn Doyle, LICSW
• Dr. Jaclyn M. Jensen DDS, PC
• Anthony Duncan, DO
• Brooke Elde
• Erickson Family Dental P.a.
• Brandi June Erickson
• Brian Erickson, PHARM.D.
• William T Erickson, DDS
• Madora Mae Erno

• Occupational Therapist in Crookston, MN
• Providers in Crookston, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.