MADELINE CHARBONNEAU
NPI 1114849759
Occupational Therapist in Eden Prairie, MN

Active since July 27, 2026Accepts Medicare Assignment
6545 FLYING CLOUD DR STE 201, EDEN PRAIRIE, MN 55344(952) 224-1919(612) 999-1943 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madeline Charbonneau NPPES

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

MADELINE CHARBONNEAU (NPI 1114849759) is an individual occupational therapist in Eden Prairie, Minnesota, licensed in Minnesota (108175) and active in the NPI registry since July 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1114849759
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMADELINE CHARBONNEAU
Location Address6545 FLYING CLOUD DR STE 201Eden Prairie, MN 55344-3356
Mailing Address6545 Flying Cloud Dr Ste 201Eden Prairie, MN 55344-3356 · (952) 224-1919 · Fax (612) 999-1943
Fax(612) 999-1943
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 27, 2026
✔ NPI 1114849759 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
License✔ Licensed in MN · 108175
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.
6545 FLYING CLOUD DR STE 201, Eden Prairie, MN 55344

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madeline Charbonneau is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749747756
PECOS Enrollment IDI20260810003681

Medicare Billing Reassignment

Medicare enrollment records show Madeline Charbonneau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sports Medicine
6545 FLYING CLOUD DR STE 201
Eden Prairie, MN 55344
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Odom Sports Medicine PA
  • 92 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Speech-Language Pathologist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Physical Therapist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Physical Therapist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Speech-Language Pathologist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Speech-Language Pathologist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Occupational Therapist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Occupational Therapist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344
Physical Therapist
6545 FLYING CLOUD DR STE 201
EDEN PRAIRIE, MN 55344

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 Madeline Charbonneau's NPI number?

The NPI number for Madeline Charbonneau is 1114849759. It was assigned to this individual provider in the NPPES registry on July 27, 2026.

Where is Madeline Charbonneau located?

Madeline Charbonneau practices at 6545 Flying Cloud Dr Ste 201, Eden Prairie, MN 55344. The listed phone number is (952) 224-1919.

What is Madeline Charbonneau's specialty?

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

Is Madeline Charbonneau enrolled in Medicare?

Yes. Madeline Charbonneau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Madeline Charbonneau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Charbonneau reassigns Medicare benefits to Odom Sports Medicine, P.A. (Eden Prairie, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madeline Charbonneau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madeline Charbonneau was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.