Sergio Madrid, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305215561 Issued in VA

Practice address

4084 University Dr Ste 103
Fairfax, VA 22030-6803

Phone

(703) 896-9999

Fax

(703) 896-9998

NPI assigned

Mar 17, 2023

Sex

Male

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 DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arthritis and Rheumatism Associates PCGroup PAC ID 5597750703, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: sergio.madrid.p1@direct.aramd.nextgenshare.com

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.

• Arthritis and Rheumatism Associates PC

  • Rheumatology Physician
  • Rockville, MD
  • NPI 1447259866

  DC

  Medicare reassignment Care Compare group NPD
• Bodies in Motion Physical Therapy III, LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1952629123

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1407557200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4084 UNIVERSITY DR STE 103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306803",
            "telephone_number": "703-896-9999",
            "fax_number": "703-896-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4084 UNIVERSITY DR STE 103",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306803",
            "telephone_number": "703-896-9999",
            "fax_number": "703-896-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "SERGIO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Kay Maddock, LPC
• John F. Maddox III, M.D.
• Brittney Maden, NP
• Ariana Mader
• Erika Frantz Madison, PH.D.
• Leesa M Madsen, PA
• Danielle Magagnoli
• Alexandra Kathleen Magee, DNP, FNP-BC
• Kristin Dermody Maggi, PA-C
• Michele Zerah Magnino, MD

• Physical Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.