Madison T Le

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2204001243 Issued in VA

Practice address

128 Fayette St
Martinsville, VA 24112-2620

Phone

(276) 352-4465

Fax

(276) 293-1212

NPI assigned

Sep 11, 2023

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 VA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acme Therapies CoGroup PAC ID 8022384577, 4 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 and National Provider Directory roles.

• Acme Therapies Co

  • Speech-Language Pathologist
  • Martinsville, VA
  • NPI 1417475898
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1295512648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FAYETTE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122620",
            "telephone_number": "276-352-4465",
            "fax_number": "276-293-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FAYETTE ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122620",
            "telephone_number": "276-352-4465",
            "fax_number": "276-293-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "MADISON",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2204001243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan James Krupp, DMD
• Lajewells Loving Touch, LLC
• Kinya Lane
• Jeanne Hall Lawson, LPTA
• Joshua Colby Lawson, PA-C
• Benjamin P Lee, MD
• Howard S Leizer, PH.D
• Joseph I. Leizer, PH.D
• William B Lewis, MD
• Life Stages Inc.

• Speech-Language Pathologist in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.