Active NPI
Madison Rhodes, PT
- Physical Therapist
- Reseda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 295841
- Practice address
- 19325 Sherman Way
Reseda, CA 91335-3557 - Phone
- (818) 885-6200
- Fax
- (818) 885-6228
- NPI assigned
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 295841 | CA | Primary |
Addresses
Primary practice location
19325 Sherman Way
Reseda, CA 91335-3557
Mailing address
19325 Sherman Way
Reseda, CA 91335-3557
Phone (818) 885-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 295841 | Other | CA | STATE LICENSE |
Other names 1
- Madison Rhodes
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 295841 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Regents of the University of California | Single Specialty | Current | Accepting new patients |
| Regents of the University of Ca | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Single Specialty | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Buonora Development, Inc | Physical Therapist | Past | Accepting new patients |
Locations
5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088
441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000
4201 W Chapman Ave
Orange, CA 92868
Phone (714) 748-6210
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
1535 River Park Dr
Ste 1000
Sacramento, CA 95815
Phone (916) 286-1000
4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
Single Specialty
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
Single Specialty
-
- Family Medicine Physician
- Sacramento, CA
- NPI 1992930986
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Anaheim, CA
- NPI 1952333460
-
- Community/Behavioral Health Agency
- Reseda, CA
- NPI 1417437658
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1295290724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19325 SHERMAN WAY",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353557",
"telephone_number": "818-885-6200",
"fax_number": "818-885-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19325 SHERMAN WAY",
"city": "RESEDA",
"state": "CA",
"postal_code": "913353557",
"telephone_number": "818-885-6200",
"fax_number": "818-885-6228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "MADISON",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-08",
"last_updated": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "295841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "295841",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "441 N Lakeview Ave",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928073028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MADISON",
"last_name": "RHODES",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.