Madeleine Rose Sparks, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

27957 Issued in MD

Practice address

46060 Millstone Landing Rd
Lexington Park, MD 20653-2149

Phone

(443) 907-3630

NPI assigned

Sep 16, 2020

Last updated

Dec 13, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1437765351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 TALLY HO CT",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219211761",
            "telephone_number": "443-466-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46060 MILLSTONE LANDING RD",
            "city": "LEXINGTON PARK",
            "state": "MD",
            "postal_code": "206532149",
            "telephone_number": "443-907-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "MADELEINE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MD",
            "license": "27957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Shefner, M DIV
• Cora Bethane Jackson Sieveka, LGSW
• Colleen Gena Singleton, M.S. CCC-SLP
• Kim Ureka Sollers, ADT
• Somd Wellness, LLC
• St. Mary's County Health Department
• St. Mary's County Health Department
• St. Mary's County Health Department
• St. Mary's County Health Department
• St. Mary's County Health Department

• Pediatric Physical Therapist in Lexington Park, MD
• Providers in Lexington Park, MD by specialty
• Pediatric Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.