Individual provider Active NPI

Madison Tyler

  • Physical Therapy Assistant
  • Topeka, KS
National Provider Identifier
1205403763
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
14-03841 Issued in KS
Practice address
2117 SW 37TH St
Topeka, KS 66611-2590
Phone
(785) 266-5850
Fax
(785) 266-0021
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 14-03841 KS Primary

Addresses

Primary practice location

2117 SW 37TH St
Topeka, KS 66611-2590

Mailing address

5220 SW 17TH St Ste 130
Topeka, KS 66604-2514
Phone (785) 271-5533

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
14-03841KSMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy Inc. CurrentSince Jun 6, 2021 Accepting new patients
Rebound Physical Therapy at Wood Valley PastSince Jun 6, 2021 Accepting new patients

Locations

2117 SW 37th St
Topeka, KS 66611
Phone (785) 266-5850

5220 SW 17th St
Ste 130
Topeka, KS 66604
Phone (785) 271-5533

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1205403763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 SW 17TH ST STE 130",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042514",
            "telephone_number": "785-271-5533",
            "fax_number": "785-271-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 SW 37TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666112590",
            "telephone_number": "785-266-5850",
            "fax_number": "785-266-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-03841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.