Individual provider Active NPI

Madison Haley Engel

  • Physical Therapist
  • Redmond, WA
National Provider Identifier
1013591387
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
8630 164TH Ave NE Ste 203
Redmond, WA 98052-1906
Phone
(425) 658-4980
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

8630 164TH Ave NE Ste 203
Redmond, WA 98052-1906

Mailing address

11002 Forbes Creek Dr Apt R205
Kirkland, WA 98033-5071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210621002914 WA Practitioner - Physical Therapist in Private Practice 8426458902 Reassigns benefits to 1 organization
I20241209000579 CO Practitioner - Physical Therapist in Private Practice 8426458902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pelvic Therapy Specialists, PCGroup PAC ID 2365524345, 6 clinicians

Practice addresses (Care Compare)

4770 Baseline Rd
Suite 120
Boulder, CO 80303-2667
Phone (303) 601-7495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pelvic Therapy Specialists, PC Physical Therapist CurrentSince Oct 30, 2024 Accepting new patients

Locations

4770 Baseline Rd
Ste 120
Boulder, CO 80303
Phone (303) 529-7664

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1013591387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11002 FORBES CREEK DR APT R205",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 164TH AVE NE STE 203",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980521906",
            "telephone_number": "425-658-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "MADISON",
        "middle_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.

Verify at the official NPI Registry.