MADONNA BALLOU, OTR/L, — NPI 1235471145 (Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) in CORVALLIS, OR)

CMS-1500 Box 24J / 33a • NPI

1235471145

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225X00000X (CMS 67)

Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)

Box 32 Service Location & ZIP+4

1650 SW 45TH PL, CORVALLIS, OR, 97333-1768

✓ 9-Digit EDI 837 ZIP+4 (97333-1768)

Practice Phone & Referral Fax

(541) 757-8068

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1235471145 (MADONNA BALLOU, OTR/L,) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1235471145` (NPI-1 Individual Practitioner)
Provider / Legal Name	MADONNA BALLOU, OTR/L,
Plain-English Specialty	Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: `225X00000X` (Occupational Therapist)
Certifying / Licensing Body	National Board for Certification in Occupational Therapy (NBCOT)
Practice Location Address	1650 SW 45TH PL, CORVALLIS, OR, 97333-1768
Practice Telephone / Fax	Tel: (541) 757-8068
Administrative Mailing Address	530 TANGLEWOOD TRL, BUDA, TX, 78610-9232
Enumeration & Last Sync	Enumerated: 2013-03-19 \| CMS Record Updated: 2026-08-28

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1650 SW 45TH PL, CORVALLIS, OR, 97333-1768

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Plain-English Taxonomy & CMS Crosswalk (225X00000X)

What Does Taxonomy Code 225X00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225X00000X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 67 (Occupational Therapist in Private Practice)
Certifying / Accrediting Authority: National Board for Certification in Occupational Therapy (NBCOT)
Clinical Scope: Regaining hand function, fine motor skills, and independent daily living after stroke, hand injury, or pediatric developmental delay.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MADONNA BALLOU, OTR/L,)

Typical CPT / Diagnostic Procedures:

Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics

Common Therapeutic Classes:

Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225X00000X` — Occupational Therapist Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: OR \| License: `361902` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MADONNA BALLOU, OTR/L, (NPI #1235471145)