Active NPI
Kent Allen Madsen, P.T.
- Physical Therapist
- Lamar, CO
National Provider Identifier
1053449744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2412
- Practice address
- 6935 U.S. Hwy 50
Lamar, CO 81052 - Phone
- (719) 336-4364
- Fax
- (719) 336-4365
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2412 | CO | Primary |
Addresses
Primary practice location
6935 U.S. Hwy 50
Lamar, CO 81052
Mailing address
408 Oak Rd
Lamar, CO 81052-2941
Phone (719) 336-4364
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2412 | CO | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1053449744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 OAK RD",
"city": "LAMAR",
"state": "CO",
"postal_code": "810522941",
"telephone_number": "719-336-4364",
"fax_number": "719-336-4365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6935 U.S. HWY 50",
"city": "LAMAR",
"state": "CO",
"postal_code": "81052",
"telephone_number": "719-336-4364",
"fax_number": "719-336-4365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "KENT",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "2412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lamar, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.