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

Madelyn Vavra, OT

Individual provider Occupational Therapist · NPI 1093679342

Madelyn Vavra, OT is an Occupational Therapist in Private Practice in Rockford, Illinois. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Illinois and Wisconsin.

Years since qualifying
1
Licensed in
IL, WI
In the registry since
2025
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

5970 Churchview Dr
Rockford, IL 61107-2574
Phone: (815) 971-2000
Fax: (815) 971-9267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8201 E Riverside Blvd, Rockford, IL 61114-2300 — (815) 971-7000

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056.016938 (IL)
Occupational Therapist Taxonomy 225X00000X · Licence 9049-26 (WI)

Record details

NPI number1093679342
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedDecember 11, 2025
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026
Mailing address29624 Network Pl, Chicago, IL 60673-1296

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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