Individual provider Active NPI

Madison Allen, PT, DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1376314708
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-033388 Issued in AZ
Practice address
5040 E Shea Blvd
Scottsdale, AZ 85254-4600
Phone
(480) 868-2696
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 LPT-033388 AZ Primary

Addresses

Primary practice location

5040 E Shea Blvd
Scottsdale, AZ 85254-4600

Mailing address

28046 N 112TH PL
Scottsdale, AZ 85262-5678
Phone (316) 259-1315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240506000248 AZ Practitioner - Physical Therapist in Private Practice 3870933047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Level Physical Therapy and Performance IncGroup PAC ID 3375845522, 3 clinicians

Practice addresses (Care Compare)

5040 E Shea Blvd
Suite 253
Scottsdale, AZ 85254-4687
Phone (480) 868-2696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-033388AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Physical Therapy and Performance Inc. Physical Therapist CurrentSince Jan 21, 2024 Accepting new patients
Avicenna Integrative Medicine PLC PastSince Jan 21, 2024 Accepting new patients

Locations

5040 E Shea Blvd
Ste 253
Scottsdale, AZ 85254
Phone (480) 868-2696

111 Tumwater Blvd SE
Ste 113
Tumwater, WA 98501
Phone (360) 528-3300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1376314708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28046 N 112TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852625678",
            "telephone_number": "316-259-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544600",
            "telephone_number": "480-868-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "MADISON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.