Active NPI
Madonna Nacole Howerton-Bradley, PT
- Physical Therapist
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7453
- Practice address
- 176W University Pkwy C
Jackson, TN 38305-1618 - Phone
- (731) 660-6915
- Fax
- (731) 668-4557
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 7453 | TN | Primary |
Addresses
Primary practice location
176W University Pkwy C
Jackson, TN 38305-1618
Mailing address
176W University Pkwy C
Jackson, TN 38305-1618
Phone (731) 660-6915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q000202 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
176 W University Pkwy
Suite E F
Jackson, TN 38305-1618
Phone (731) 300-4950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7453 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patterson Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Kerry D. Friesen, M.D. PC | Past | Accepting new patients | |
| Cabot Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
176 W University Pkwy
Ste C
Jackson, TN 38305
Phone (731) 660-6915
176 W University Pkwy
Ste Ef
Jackson, TN 38305
Phone (731) 300-4950
400 US Highway 45 W
Three Way, TN 38343
Phone (731) 784-7771
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Jackson, TN
- NPI 1770928533
Physical Therapist
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1316052624
-
- Physical Therapist
- Cabot, AR
- NPI 1194746438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1437213147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176W UNIVERSITY PKWY C",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051618",
"telephone_number": "731-660-6915",
"fax_number": "731-668-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176W UNIVERSITY PKWY C",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051618",
"telephone_number": "731-660-6915",
"fax_number": "731-668-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWERTON-BRADLEY",
"first_name": "MADONNA",
"middle_name": "NACOLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7453",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q000202",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.