Active NPI
Madison Avery Sain, PT, DPT, VRS
- Physical Therapist
- Clayton, NC
National Provider Identifier
1053138107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P23507
- Practice address
- 11183 US Hwy 70 Bus
Clayton, NC 27520 - Phone
- (919) 912-2030
- NPI assigned
- Sep 20, 2024
- Last updated
- Sep 20, 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 | P23507 | NC | Primary |
Addresses
Primary practice location
11183 US Hwy 70 Bus
Clayton, NC 27520
Mailing address
39 Wood Stork CT
Clayton, NC 27520-4178
Phone (919) 912-2030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P23507 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abil-OT | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1053138107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 WOOD STORK CT",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275204178",
"telephone_number": "919-912-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11183 US HWY 70 BUS",
"city": "CLAYTON",
"state": "NC",
"postal_code": "27520",
"telephone_number": "919-912-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAIN",
"first_name": "MADISON",
"middle_name": "AVERY",
"credential": "PT, DPT, VRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-20",
"last_updated": "2024-09-20",
"certification_date": "2024-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P23507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.