MADELINE BREANNA STAVLO OTR/L
NPI 1861037350
Occupational Therapist in Rochester, MN

Active since November 08, 2019
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2025, Nov 26, 2025, Nov 8, 2019 (3 updates tracked since 2019).

About Madeline Breanna Stavlo Otr/l NPPES

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

MADELINE BREANNA STAVLO OTR/L (NPI 1861037350) is an individual occupational therapist in Rochester, Minnesota, licensed in Minnesota (107335) and active in the NPI registry since November 2019. She maintains a secondary practice location in Kasson and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861037350
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMADELINE BREANNA STAVLOCredential: OTR/L
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 8, 2019
Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
NPI 1861037350 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 · 107335
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.
200 1ST ST SW, Rochester, MN 55905

Other Names 1

Former Name (1)Madeline Hettinger Otr/l

Secondary Practice Location 1

Location 11108 N Mantorville AveKasson, MN 55944-1617 · Phone (507) 424-3234

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Madeline Breanna Stavlo Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678069697
PECOS Enrollment IDI20251230000463

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
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Stavlo's NPI number?

The NPI number for Madeline Stavlo is 1861037350. It was assigned to this individual provider in the NPPES registry on November 8, 2019. The provider is also known as Madeline Hettinger Otr/L.

Where is Madeline Stavlo located?

Madeline Stavlo practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Madeline Stavlo's specialty?

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

Is Madeline Stavlo enrolled in Medicare?

Yes. Madeline Stavlo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madeline Stavlo was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.