Individual provider Active NPI

Madison Johnson, DPT

  • Physical Therapist
  • Shelby, NC
National Provider Identifier
1053157271
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05015661A Issued in IN
Practice address
1129 E Marion St
Shelby, NC 28150-4843
Phone
(704) 471-0001
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP058249T NC
Physical Therapist 225100000X 05015661A IN Primary

Addresses

Primary practice location

1129 E Marion St
Shelby, NC 28150-4843

Mailing address

12840 Ridgewood Rd
Anchorage, AK 99516-2986

Other practice location 1

1045 E Klatt Rd
Anchorage, AK 99515-3665
Phone (907) 245-1245

Other names 1

  • Madison Seymour Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240927002045 AK Practitioner - Physical Therapist in Private Practice 9739610007 Reassigns benefits to 1 organization
I20260622000849 NC Practitioner - Physical Therapist in Private Practice 9739610007 Reassigns benefits to 1 organization

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
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians
United Physical Therapy IncGroup PAC ID 1355231853, 34 clinicians

Practice addresses (Care Compare)

1129 E Marion St
Shelby, NC 28150-4843
Phone (704) 471-0001

742 K St
Anchorage, AK 99501-3331
Phone (907) 929-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aline Alaska Chiropractic LLC CurrentSince Jul 21, 2024 Accepting new patients
A Joint Effort Physical Therapy Inc. CurrentSince Sep 9, 2024 Accepting new patients
United Physical Therapy, LLC Physical Therapist CurrentSince Dec 11, 2024 Accepting new patients

Locations

6200 Lake Otis Pkwy
Ste 104
Anchorage, AK 99507
Phone (907) 770-6693

742 K St
Anchorage, AK 99501
Phone (907) 929-8400

1045 E Klatt Rd
Anchorage, AK 99515
Phone (907) 245-1245

Organizations & group practices 4

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1053157271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12840 RIDGEWOOD RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995162986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 E MARION ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504843",
            "telephone_number": "704-471-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 E Klatt Rd",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995153665",
            "country_code": "US",
            "telephone_number": "907-245-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MADISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP058249T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015661A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "SEYMOUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.