NPIMap

Organization Active NPI

Madison Physical Therapy Associates, LLC

  • Physical Therapy Clinic/Center
  • Richmond, KY
National Provider Identifier
1063608495
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
0000 Issued in KY
Legal business name
MADISON PHYSICAL THERAPY ASSOCIATES, LLC
Practice address
370 Highland Park Dr Ste 1
Richmond, KY 40475-3546
Phone
(859) 625-9700
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Margaret S. Gagnon, P.T.
Title
Physical Therapist/Owner
Phone
(859) 625-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 0000 KY Primary

Addresses

Primary practice location

370 Highland Park Dr Ste 1
Richmond, KY 40475-3546

Mailing address

370 Highland Park Dr Ste 1
Richmond, KY 40475-3546
Phone (859) 625-9700

National Provider Directory

National Provider Directory

Locations

370 Highland Park Dr
Ste 1
Richmond, KY 40475
Phone (859) 623-4567

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1063608495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 HIGHLAND PARK DR STE 1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753546",
            "telephone_number": "859-625-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 HIGHLAND PARK DR STE 1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753546",
            "telephone_number": "859-625-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PHYSICAL THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "859-625-9700",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.