MADELYN VAVRA OT
NPI 1093679342
Occupational Therapist in Rockford, IL

Active since December 11, 2025
5970 CHURCHVIEW DR, ROCKFORD, IL 61107(815) 971-2000(815) 971-9267 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2026, Dec 11, 2025 (2 updates tracked since 2025).

About Madelyn Vavra Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELYN VAVRA OT (NPI 1093679342) is an individual occupational therapist in Rockford, Illinois, licensed in Illinois (056.016938) and active in the NPI registry since December 2025. She maintains a secondary practice location in Rockford and is a graduate of Other (2025).

NPPES Registry Identity

NPI1093679342
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMADELYN VAVRACredential: OT
Location Address5970 CHURCHVIEW DRRockford, IL 61107-2574
Mailing Address29624 Network PlChicago, IL 60673-1296 · (815) 971-7000 · Fax (815) 968-4795
Fax(815) 971-9267
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 11, 2025
Last NPPES UpdateApril 30, 20262 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1093679342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Licenses Licensed in IL · 056.016938 Licensed in WI · 9049-26
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
5970 CHURCHVIEW DR, Rockford, IL 61107

Secondary Practice Location 1

Location 18201 E Riverside BlvdRockford, IL 61114-2300 · Phone (815) 971-7000 · Fax (815) 968-4795

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Madelyn Vavra Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204319148
PECOS Enrollment IDI20260310001955

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Advanced Practice Midwife
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Hospitalist
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Obstetrics & Gynecology
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Student in an Organized Health Care Education/Training Program
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Pediatrics
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Internal Medicine
5970 CHURCHVIEW DR
ROCKFORD, IL 61107
Hospitalist
5970 CHURCHVIEW DR
ROCKFORD, IL 61107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madelyn Vavra's NPI number?

The NPI number for Madelyn Vavra is 1093679342. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Madelyn Vavra located?

Madelyn Vavra practices at 5970 Churchview Dr, Rockford, IL 61107. The listed phone number is (815) 971-2000.

What is Madelyn Vavra's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Madelyn Vavra enrolled in Medicare?

Yes. Madelyn Vavra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madelyn Vavra was last updated on April 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.