Organization Active NPI

Madison Physical Therapy & Consulting, LLC

  • Physical Therapist
  • Madison, WI
National Provider Identifier
1255828034
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MADISON PHYSICAL THERAPY & CONSULTING, LLC
Practice address
44 E Mifflin St
Madison, WI 53703-4205
Phone
(608) 957-7088
NPI assigned
Apr 17, 2018
Last updated
Apr 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Tiffany Susan Virag, PT, OCS, CERT. DNNPI 1285859405
Title
Owner/Physical Therapist
Phone
(608) 957-7088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Geriatric Physical Therapist 2251G0304X NU
Orthopedic Physical Therapist 2251X0800X NU

Addresses

Primary practice location

44 E Mifflin St
Madison, WI 53703-4205

Mailing address

3733 Ross St
Madison, WI 53705-5225
Phone (608) 957-7088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180514001429 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597029835 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

100 Wisconsin Ave
Ste 101
Madison, WI 53703
Phone (608) 957-7088

44 E Mifflin St
Madison, WI 53703
Phone (309) 242-7763

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1255828034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 ROSS ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537055225",
            "telephone_number": "608-957-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E MIFFLIN ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034205",
            "telephone_number": "608-957-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PHYSICAL THERAPY & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "VIRAG",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "608-957-7088",
        "authorized_official_credential": "PT, OCS, CERT. DN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.