Active NPI
Madison Marie Largin, DPT
- Physical Therapist
- Brent, AL
National Provider Identifier
1104401579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH10273
- Practice address
- 10452 Highway 5 Ste D
Brent, AL 35034-3924 - Phone
- (205) 316-9207
- Fax
- (205) 316-9208
- NPI assigned
- Mar 16, 2021
- Sex
- Female
- 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 | PTH10273 | AL | Primary |
Addresses
Primary practice location
10452 Highway 5 Ste D
Brent, AL 35034-3924
Mailing address
10452 Highway 5 Ste D
Brent, AL 35034-3924
Phone (205) 316-9207
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | casha@bibbed.org | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1104401579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10452 HIGHWAY 5 STE D",
"city": "BRENT",
"state": "AL",
"postal_code": "350343924",
"telephone_number": "205-316-9207",
"fax_number": "205-316-9208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10452 HIGHWAY 5 STE D",
"city": "BRENT",
"state": "AL",
"postal_code": "350343924",
"telephone_number": "205-316-9207",
"fax_number": "205-316-9208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARGIN",
"first_name": "MADISON",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH10273",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "casha@bibbed.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10452 Highway 5 Ste D",
"city": "Brent",
"state": "AL",
"country_code": "US",
"postal_code": "350343924",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brent, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.