Active NPI
Madison Dacey
- Physical Therapist
- San Clemente, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27864
- Practice address
- 415 E Avenida Pico Ste M
San Clemente, CA 92672-3800 - Phone
- (949) 245-6581
- NPI assigned
- Apr 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27864 | MA | Primary |
Addresses
Primary practice location
415 E Avenida Pico Ste M
San Clemente, CA 92672-3800
Mailing address
2600 Dallas Pkwy Ste 290
Ste 290
Frisco, TX 75034-7493
Phone (508) 385-4212
Other practice location 1
860 Route 134 Ste 5&6
South Dennis, MA 02660-2577
Phone (508) 385-4212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT310205 | Other | CA | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241102000216 | MA | Practitioner - Physical Therapist in Private Practice | 1951834639 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1343 Boston Providence Tpke
Norwood, MA 02062-5055
Phone (781) 702-1339
205 Worcester CT
Suite 3B
Falmouth, MA 02540-3920
Phone (774) 349-0026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27864 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Bay State Physical Therapy of Randolph Inc | Current | Accepting new patients | |
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Locations
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
860 Route 134
Ste 5
South Dennis, MA 02660
Phone (508) 385-4212
860 Route 134
Ste 56
South Dennis, MA 02660
Phone (508) 385-4212
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Quincy, MA
- NPI 1316507627
-
- Physical Therapist
- Franklin, MA
- NPI 1821108549
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
- Rehabilitation Clinic/Center
- Annapolis, MD
- NPI 1639281157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1003661240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 DALLAS PKWY STE 290",
"address_2": "STE 290",
"city": "FRISCO",
"state": "TX",
"postal_code": "750347493",
"telephone_number": "508-385-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E AVENIDA PICO STE M",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926723800",
"telephone_number": "949-245-6581"
}
],
"practiceLocations": [
{
"address_1": "860 Route 134 Ste 5&6",
"address_purpose": "LOCATION",
"city": "South Dennis",
"state": "MA",
"postal_code": "026602577",
"country_code": "US",
"telephone_number": "508-385-4212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DACEY",
"first_name": "MADISON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-22",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "27864",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT310205",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.