Madelyn Marie Dickman, PT, DPT, CSCS
Individual provider Active NPI Physical Therapist · Marriottsville, MD
NPI 1235814435 · NPPES record last updated Jun 16, 2023
Key facts
- NPI
- 1235814435
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 29479 (MD)
- Practice address
- 2470 Longstone LN Ste a
Marriottsville, MD 21104-1516 - Phone
- (410) 982-6251
- Fax
- (410) 982-6263
- NPI assigned
- Jun 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Maryland School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- HCPT LLC
Practice addresses (Care Compare)
2470 Longstone LN
Suite a
Marriottsville, MD 21104-1516
Phone (410) 982-6251
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240430002551 | MD | Practitioner - Physical Therapist in Private Practice | 0244670859 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCPT LLC | Physical Therapist | Current |
Accepting new patients |
| Rehab 2 Perform LLC | Physical Therapist | Past | Accepting new patients |
Locations
2470 Longstone Ln
Ste A
Marriottsville, MD 21104
Phone (410) 982-6251
10312 Governor Lane Blvd
Unit 5007
Williamsport, MD 21795
Phone (410) 982-6251
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29479 | MD | Yes |
Addresses
Primary practice location
2470 Longstone LN Ste a
Marriottsville, MD 21104-1516
Mailing address
2470 Longstone LN Ste a
Marriottsville, MD 21104-1516
Phone (410) 982-6251
Other providers in Marriottsville, MD
- Charter Internal Medicine, LLC
- Christina Ann Clagett
- Linda Sorace Crites
- Jasmin Lorraine Crossfield
- Mary Elaine Davia
- Eagle Pharmacy Inc
- Jonathan Scott Fish
- Kathleen Flowers Fox
- Joelle L Frizzera
- Fundamental Solutions Psychotherapy. LLC
All providers in Marriottsville, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.