Madison Avenue Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT112750 Issued in CA

Legal business name

MADISON AVENUE PHYSICAL THERAPY

Practice address

5411 Madison Ave
Suite 1
Sacramento, CA 95841-3151

Phone

(916) 332-6050

Fax

(916) 332-6053

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael Richard Crooks, PTNPI 1740359447

Title

Owner/Therapist

Phone

(916) 332-6050

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Michael Richard Crooks, P.T.

  • Specialist
  • Sacramento, CA
  • NPI 1740359447
  NPD (past) Authorized official
• James Edward Shoemaker, PH.D.

  • Clinical Psychologist
  • Sacramento, CA
  • NPI 1750318507
  NPD (past)

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1164747408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 MADISON AVE",
            "address_2": "SUITE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413151",
            "telephone_number": "916-332-6050",
            "fax_number": "916-332-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 MADISON AVE",
            "address_2": "SUITE 1",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958413151",
            "telephone_number": "916-332-6050",
            "fax_number": "916-332-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON AVENUE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "CROOKS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "916-332-6050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT112750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyenne Madero
• Ranganathan Guru Madhavan, M.D.
• John J Madigan, MD
• Rukmini Madihalli
• Nalini Madiraju, MD
• Madison Square Senior Living
• Camille B Madison, MD
• Jeanelle Madison
• Kayla Ray Madison, RN
• Michael Madkins II

• Physical Therapy Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.