Individual provider Active NPI

Madison Hibdon, DPT

  • Physical Therapist
  • Wasilla, AK
National Provider Identifier
1134826373
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
204295 Issued in AK
Practice address
401 E Bogard Rd
Wasilla, AK 99654-7108
Phone
(907) 357-2578
Fax
(907) 357-2529
NPI assigned
Feb 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 204295 AK Primary

Addresses

Primary practice location

401 E Bogard Rd
Wasilla, AK 99654-7108

Mailing address

401 E Bogard Rd
Wasilla, AK 99654-7108
Phone (907) 357-2578

Other names 1

  • Madison Brandt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260312001323 AK Practitioner - Physical Therapist in Private Practice 3971086422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

401 E Bogard Rd
Wasilla, AK 99654-7108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
204295AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Guidepost Pediatric Therapies and Educational Services CurrentSince Feb 12, 2023 Accepting new patients
Alyeska Therapy Center, Inc. Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients

Locations

1174 N Leatherleaf Loop
Ste D
Wasilla, AK 99654
Phone (907) 312-0373

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1134826373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547108",
            "telephone_number": "907-357-2578",
            "fax_number": "907-357-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E BOGARD RD",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547108",
            "telephone_number": "907-357-2578",
            "fax_number": "907-357-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBDON",
        "first_name": "MADISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "204295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "BRANDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.