Madison Elaine Angus

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

20500 Seneca Meadows Pkwy
Germantown, MD 20876-7008

Phone

(301) 916-8500

NPI assigned

May 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Madison Rolls Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: mrolls@montgomerycollege.edu

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.

• Elite Performance Lab, LLC

  dba New Market Physical Therapy

  • Physical Therapist
  • New Market, MD
  • NPI 1942035282
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1437725512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20500 SENECA MEADOWS SUITE 101",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "20876",
            "telephone_number": "301-916-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20500 SENECA MEADOWS PKWY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208767008",
            "telephone_number": "301-916-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 W Main St",
            "address_purpose": "LOCATION",
            "city": "New Market",
            "state": "MD",
            "postal_code": "217746290",
            "country_code": "US",
            "telephone_number": "240-549-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGUS",
        "first_name": "MADISON",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mrolls@montgomerycollege.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20500 Seneca Meadows Pkwy",
            "city": "Germantown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208767008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "ROLLS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Anju Verma MDPC (Diabetes & Hormone Center)
• Anna Beth Ansaldo, MD
• Roxana Ansari, PHARM.D

• Physical Therapy Assistant in Germantown, MD
• Providers in Germantown, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.