Individual provider Active NPI

Madison Beene, PT, ATC

  • Athletic Trainer
  • Lawrence, KS
National Provider Identifier
1073292876
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
24-01550 Issued in KS
Practice address
1146 Fambrough Way
Lawrence, KS 66044-3087
Phone
(903) 217-7927
NPI assigned
Jul 18, 2023
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 11-06799 KS
Athletic Trainer 2255A2300X 24-01550 KS Primary

Addresses

Primary practice location

1146 Fambrough Way
Lawrence, KS 66044-3087

Mailing address

4541 Bauer Farm Dr Apt D3
Lawrence, KS 66049-9107
Phone (903) 217-7927

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

LicenseStateTypeSpecialty
11-06799KSMDSports Physical Therapist
24-01550KSMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1073292876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 BAUER FARM DR APT D3",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660499107",
            "telephone_number": "903-217-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 FAMBROUGH WAY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443087",
            "telephone_number": "903-217-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEENE",
        "first_name": "MADISON",
        "credential": "PT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "KS",
            "license": "11-06799",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-01550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.