Madrona Pelvic Health, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MADRONA PELVIC HEALTH, LLC

Practice address

4701 S 19TH St Ste 101
Tacoma, WA 98405-1199

Phone

(509) 710-5873

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Lynn Maxwell, PT, DPTNPI 1588097737

Title

Manager

Phone

(253) 212-3620

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Lynn Maxwell, PT, DPT

  • Physical Therapist
  • Tacoma, WA
  • NPI 1588097737
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1003652025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 S 19TH ST STE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051199",
            "telephone_number": "509-710-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 S 19TH ST STE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051199",
            "telephone_number": "509-710-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADRONA PELVIC HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-212-3620",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Edward Madison, PT, MS
• Jayson Madriaga, PA-C
• Ivonne Rosa Madrigal Leon
• David Madrigal
• Madrona Peak LLC (Generations Home Care)
• Madrona Physical Therapy, PLLC
• Grace Amalachukwu Madueke, PMHNP
• Johnette Barnes Maehren, D.O.
• Paul Maestry-Williams
• Sophia Irene Maffei

• Physical Therapy Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.