Carol W Madeja, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT003817L Issued in PA

Practice address

945 E Haverford Rd FL 1
Bryn Mawr, PA 19010-3814

Phone

(610) 525-1223

Fax

(610) 525-5797

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Wiesenthal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bryn Mawr Sports Medicine and Rehabilitation

  dba Bryn Mawr Sports Rehab. Inc

  • Physical Therapist
  • Bryn Mawr, PA
  • NPI 1396761904
  NPD

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1053985713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E HAVERFORD RD FL 1",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103814",
            "telephone_number": "610-525-1223",
            "fax_number": "610-525-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E HAVERFORD RD FL 1",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103814",
            "telephone_number": "610-525-1223",
            "fax_number": "610-525-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEJA",
        "first_name": "CAROL",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT003817L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "WIESENTHAL",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Lytle, MA CCC-SLP
• Ryan Scott Macdougall, MD
• Martha Machowski, CRNP
• Amy Mack, LCSW
• Joseph Richard Mackay, RPH
• Ravi Chandra Anjaneyalu Madineni, M.D
• Ian Thomas Madison, DO
• George Magakis Jr., PHD
• Ennio Magnarelli, RPH
• Jana Marie Mahon, PA-C

• Physical Therapist in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.