MEDICARE: MADELYN RAU OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	2023033569	MO

General Provider Information

NPI Number	:	1437935731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELYN RAU OTR

Provider Business Mailing Address
First Line	:	1190 CINNAMON HILL LN APT 203
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-8179
Country	:	US
Telephone Number	:	513-236-6505
Fax Number	:

Provider Business Practice Location Address
First Line	:	3003 FALLING LEAF CT
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-3549
Country	:	US
Telephone Number	:	573-256-4620
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2023
Last Update Date	:	12/06/2025

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