Individual provider Active NPI

Thomas Madden, PT, DPT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1285482349
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTT41606 Issued in FL
Practice address
4299 A1A S
St Augustine, FL 32080-7421
Phone
(904) 679-3449
Fax
(904) 679-3436
NPI assigned
May 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTT41606 FL Primary

Addresses

Primary practice location

4299 A1A S
St Augustine, FL 32080-7421

Mailing address

105 Mariner Health Way Ste 213
St Augustine, FL 32086-3251
Phone (904) 217-4259

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429000870 FL Practitioner - Physical Therapist in Private Practice 0941726392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Augustine Rehabilitation Specialists LLCGroup PAC ID 8426107293, 38 clinicians

Practice addresses (Care Compare)

4299 A1A
Saint Augustine, FL 32080-7421
Phone (904) 679-3449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTT41606FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Augustine Rehabilitation Specialists LLC Physical Therapist CurrentSince Apr 6, 2025 Accepting new patients
Saint Augustine Rehabilitation Specialists LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Request Physical Therapy Physical Therapist PastSince May 1, 2024 Accepting new patients
Saint Augustine Rehabilitation Specialists LLC Physical Therapist PastSince Apr 27, 2025 Accepting new patients

Locations

5547 A1A S
Ste 109
Saint Augustine, FL 32080
Phone (904) 679-3449

105 Mariner Health Way
Ste 213
St Augustine, FL 32086
Phone (904) 217-4259

4299 A1A S
St Augustine, FL 32080
Phone (904) 217-4259

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1285482349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MARINER HEALTH WAY STE 213",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320863251",
            "telephone_number": "904-217-4259",
            "fax_number": "904-217-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 A1A S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320807421",
            "telephone_number": "904-679-3449",
            "fax_number": "904-679-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT41606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.