Madelynn C Wittemann, MAT, LAT, ATC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

14220405-4810 Issued in UT

Practice address

1840 S 1300 E
Salt Lake City, UT 84105-3617

Phone

(801) 832-2200

NPI assigned

May 7, 2025

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1366232928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 625 W APT B201",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108272",
            "telephone_number": "480-494-7487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053617",
            "telephone_number": "801-832-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 S 625 W Apt B201",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840108272",
            "country_code": "US",
            "telephone_number": "480-494-7487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTEMANN",
        "first_name": "MADELYNN",
        "middle_name": "C",
        "credential": "MAT, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "UT",
            "license": "14220405-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Witt, MD
• Mark T Witt, MD
• Reuben Witt
• Robin Witt
• Madolin Kay Witte
• Linda R Wittman, SACI
• Andrew William Wittwer, MSW, LCSW
• Carl T. Wittwer, MD
• Rachel Suniti Wittwer
• Lyndsay Anne Wixom, NURSE

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.