Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Jo Madison

Individual provider Occupational Therapy Assistant · NPI 1053091975

Amanda Jo Madison is an Occupational Therapy Assistant in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2023.

Licensed in
MN
In the registry since
2023

Practice location Address checks out

2319 7th St W
Saint Paul, MN 55116-2813
Phone: (651) 698-0793
Fax: (651) 698-0378
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 202619 (MN)

Record details

NPI number1053091975
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023
Mailing address3649 Quail Ave N, Robbinsdale, MN 55422-2060

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