Active NPI
Madison Tyler
- Physical Therapy Assistant
- Topeka, KS
National Provider Identifier
1205403763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14-03841
- 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
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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 14-03841 | KS | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Physical Therapy Inc. | Current | Accepting new patients | |
| Rebound Physical Therapy at Wood Valley | Past | 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.
-
- Physical Therapist
- Topeka, KS
- NPI 1003810466
-
dba Rebound Physical Therapy
- Physical Therapist
- Topeka, KS
- NPI 1891711974
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.