Madison Faber

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1358236 Issued in TX

Practice address

5848 Judson Rd
Longview, TX 75605-1071

Phone

(903) 653-4548

NPI assigned

Mar 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Laborde Therapy Center LLCGroup PAC ID 2668469545, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laborde Therapy Center LLC

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1811997448

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Cardiovascular Institute of the South, LLC

  • Cardiovascular Disease Physician
  • Houma, LA
  • NPI 1982689113
  NPD (past)
• Laborde Hand and Occupational Therapy Center

  • Occupational Therapist
  • Lafayette, LA
  • NPI 1316275027
  NPD (past)

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1255081949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051071",
            "telephone_number": "903-653-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051071",
            "telephone_number": "903-653-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1358236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Presbyterian Ministries of Texas, Inc. (Evergreen Stone Trail Community Home)
• Evibrant Mental Wellness
• Eyemart Express LLC
• Eyemart Express, LTD.
• Eyemasters of Texas LTD (EyeMasters)
• Fadal Pediatric Dentistry, PA
• Ronald Nelson Fadal, D.D.S.
• Willem H Fahrenbruck, LCPC
• Faith Palliative Care Management, Inc. (Faith Hospice)
• Faith Residential Services

• Physical Therapist in Longview, TX
• Providers in Longview, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.