Individual provider Active NPI

Madison Mathis

  • Physical Therapist
  • Berwyn, PA
National Provider Identifier
1043141310
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT034175 Issued in PA
Practice address
511 Old Lancaster Rd Ste 12
Berwyn, PA 19312-1671
Phone
(610) 225-2451
Fax
(610) 964-6166
NPI assigned
May 26, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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 PT034175 PA Primary

Addresses

Primary practice location

511 Old Lancaster Rd Ste 12
Berwyn, PA 19312-1671

Mailing address

511 Old Lancaster Rd Ste 12
Berwyn, PA 19312-1671
Phone (610) 225-2451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260612000615 PA Practitioner - Physical Therapist in Private Practice 8325510126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JMB Therapy Services LLCGroup PAC ID 8628243748, 28 clinicians

Practice addresses (Care Compare)

511 Old Lancaster Rd
Suite 12
Berwyn, PA 19312-1671
Phone (610) 225-2451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT034175PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JMB Therapy Services LLC Physical Therapist CurrentSince May 20, 2026 Accepting new patients
JMB Therapy Services LLC Physical Therapist PastSince May 20, 2026 Accepting new patients

Locations

511 Old Lancaster Rd
Ste 12
Berwyn, PA 19312
Phone (610) 225-2451

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": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1043141310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 OLD LANCASTER RD STE 12",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121671",
            "telephone_number": "610-225-2451",
            "fax_number": "610-964-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 OLD LANCASTER RD STE 12",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121671",
            "telephone_number": "610-225-2451",
            "fax_number": "610-964-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT034175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.