Individual provider Active NPI

Timothy John Madden, PT, DPT, DME

  • Physical Therapist
  • New Hartford, NY
National Provider Identifier
1407800238
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009696-2 Issued in NY
Practice address
145 New Hartford St
New Hartford, NY 13413
Phone
(315) 793-1878
Fax
(315) 793-1868
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5586460001 NY
Hand Physical Therapist 2251H1200X
Physical Therapist 225100000X 009696-2 NY Primary

Addresses

Primary practice location

145 New Hartford St
New Hartford, NY 13413

Mailing address

145 New Hartford St
New Hartford, NY 13413-1616
Phone (315) 793-1878

Other identifiers 1

IdentifierTypeStateIssuer
5586460001OtherNYDME SUPPLIER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051026000530 NY Practitioner - Physical Therapist in Private Practice 3375560659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madden and Gschwind Braman, PT, PCGroup PAC ID 5294752572, 7 clinicians

Practice addresses (Care Compare)

104 New Hartford Shopping Ctr
New Hartford, NY 13413-1618

3899 Oneida St
BLDG C
New Hartford, NY 13413-9707
Phone (315) 793-1878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009696NYMDNutritionist
5586460001NYMDPhysical Medicine & Rehabilitation Physician
009696-2NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Madden & Gschwind Braman, PT, PC Physical Therapist CurrentSince Nov 1, 2005 Accepting new patients

Locations

104 New Hartford Shopping Ctr
New Hartford, NY 13413
Phone (315) 793-1878

3899 Oneida St
Bldg C
New Hartford, NY 13413
Phone (315) 793-1878

145 New Hartford St
New Hartford, NY 13413
Phone (315) 793-1878

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1407800238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 NEW HARTFORD ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134131616",
            "telephone_number": "315-793-1878",
            "fax_number": "315-793-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 NEW HARTFORD ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "13413",
            "telephone_number": "315-793-1878",
            "fax_number": "315-793-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "PT, DPT, DME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "5586460001",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009696-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER",
            "identifier": "5586460001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.