Organization Active NPI

Madlenerhaususa

  • Physical Medicine & Rehabilitation Physician
  • Melbourne, FL
National Provider Identifier
1083469456
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MADLENERHAUSUSA
Practice address
2210 Front St Ste 207
Melbourne, FL 32901-7506
Phone
(321) 806-9450
NPI assigned
Apr 19, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
John Madlener, MD
Title
Authorized Official
Phone
(321) 806-9450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

2210 Front St Ste 207
Melbourne, FL 32901-7506

Mailing address

544 Murrell Road
Suite 102 PMB 156
Rockledge, FL 32955
Phone (321) 806-9450

National Provider Directory

National Provider Directory

Locations

2210 Front St
Ste 207
Melbourne, FL 32901
Phone (321) 806-9450

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1083469456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 MURRELL ROAD",
            "address_2": "SUITE 102 PMB 156",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "32955",
            "telephone_number": "321-806-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 FRONT ST STE 207",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017506",
            "telephone_number": "321-806-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADLENERHAUSUSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "MADLENER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "321-806-9450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.