Active NPI
Jennifer Rose Madison, PT, MPT
- Physical Therapist
- Vernon Hills, IL
National Provider Identifier
1316818974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070011536
- Practice address
- 990 Corporate Woods Pkwy
Vernon Hills, IL 60061-3155 - Phone
- (224) 513-6452
- NPI assigned
- Sep 16, 2025
- 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 | 070011536 | IL | Primary |
Addresses
Primary practice location
990 Corporate Woods Pkwy
Vernon Hills, IL 60061-3155
Mailing address
1843 Manor LN
Mundelein, IL 60060-1453
Phone (773) 771-8646
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070011536 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1316818974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 MANOR LN",
"city": "MUNDELEIN",
"state": "IL",
"postal_code": "600601453",
"telephone_number": "773-771-8646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 CORPORATE WOODS PKWY",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600613155",
"telephone_number": "224-513-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "JENNIFER",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "PT, MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070011536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.