Individual provider Active NPI

Kathleen Madigan, P.T.

  • Physical Therapist
  • Rockaway Park, NY
National Provider Identifier
1306096029
Registry record updated Sep 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8332 Issued in NY
Practice address
1 Beach 105TH St Apt 6U
Rockaway Park, NY 11694-2606
Phone
(718) 634-5603
Fax
(717) 634-5603
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2008

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 8332 NY Primary

Addresses

Primary practice location

1 Beach 105TH St Apt 6U
Rockaway Park, NY 11694-2606

Mailing address

1 Beach 105TH St Apt 6U
Rockaway Park, NY 11694-2606
Phone (718) 634-5603

Other identifiers 1

IdentifierTypeStateIssuer
8332OtherNYLICENSED PHYSICAL THERAPIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8332NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1306096029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BEACH 105TH ST APT 6U",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942606",
            "telephone_number": "718-634-5603",
            "fax_number": "717-634-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BEACH 105TH ST APT 6U",
            "city": "ROCKAWAY PARK",
            "state": "NY",
            "postal_code": "116942606",
            "telephone_number": "718-634-5603",
            "fax_number": "717-634-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIGAN",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "8332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PHYSICAL THERAPIST",
            "identifier": "8332",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.