Brittany Maddox, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PT-0940 Issued in WY

Practice address

1951 Bluegrass Cir
Cheyenne, WY 82009-7355

Phone

(307) 773-8533

Fax

(307) 635-7578

NPI assigned

Oct 17, 2017

Last updated

Oct 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brittany Frazier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Champlin Physical Therapy, LLC

  dba Physical Therapy Center

  • Physical Therapist
  • Cheyenne, WY
  • NPI 1922288646

  Single Specialty

  NPD (past)
• Hudson Valley Radiology Associates PLLC

  • Diagnostic Radiology Physician
  • New City, NY
  • NPI 1174574115

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1023529047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 BLUEGRASS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097355",
            "telephone_number": "307-773-8533",
            "fax_number": "307-635-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 BLUEGRASS CIR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820097355",
            "telephone_number": "307-773-8533",
            "fax_number": "307-635-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "BRITTANY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WY",
            "license": "PT-0940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "FRAZIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara L Macke, MSW, LCSW
• Charles Edward Mackey, MD
• Denise D Macleod, APN
• Elawna Macmillan
• Carol A Madden
• Alison Ilana Mador, RD
• Heather Madrid, LCSW
• Joseph A. Madrid, MSW
• Lucretia M Maes
• Magic City Enterprises

• Physical Therapy Assistant in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Physical Therapy Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.