Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madeline Breanna Stavlo, OTR/L

Individual provider Occupational Therapist · NPI 1861037350

Madeline Breanna Stavlo, OTR/L is an Occupational Therapist in Private Practice in Rochester, Minnesota. Qualified in 2023, 3 years ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
3
Licensed in
MN
In the registry since
2019
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1108 N Mantorville Ave, Kasson, MN 55944-1617 — (507) 424-3234

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 107335 (MN)

Record details

NPI number1861037350
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 8, 2019
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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