Individual provider Active NPI

Madison Townsend

  • Physical Therapist
  • Prince George, VA
National Provider Identifier
1457921850
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214495 Issued in VA
Practice address
4710 Puddledock Rd Ste 100
Prince George, VA 23875-1269
Phone
(804) 732-0035
Fax
(804) 732-0045
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305214495 VA Primary

Addresses

Primary practice location

4710 Puddledock Rd Ste 100
Prince George, VA 23875-1269

Mailing address

PO Box 715868
Philadelphia, PA 19171-4067
Phone (804) 915-1910

Other practice location 1

3310 Fall Hill Ave
Fredericksburg, VA 22401-3000
Phone (540) 479-4777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210819002826 VA Practitioner - Physical Therapist in Private Practice 2769887363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthovirginia IncGroup PAC ID 0547157224, 570 clinicians

Practice addresses (Care Compare)

4710 Puddledock Rd
Suite 100
Prince George, VA 23875-1269
Phone (804) 458-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305214495VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia Inc Physical Therapist Current Accepting new patients
Orthovirginia, Inc. CurrentSince Jul 18, 2022 Accepting new patients
Mary Washington Healthcare Physicians Physical Therapist CurrentSince Jul 12, 2021 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jul 12, 2021 Accepting new patients
Orthovirginia, Inc CurrentSince Jul 18, 2022 Accepting new patients

Locations

3310 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 373-7133

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 327-9242

4710 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 732-0035

90 Greenspring Dr
Stafford, VA 22554
Phone (540) 373-7133

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1457921850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715868",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191714067",
            "telephone_number": "804-915-1910",
            "fax_number": "804-327-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 PUDDLEDOCK RD STE 100",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751269",
            "telephone_number": "804-732-0035",
            "fax_number": "804-732-0045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Fall Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013000",
            "country_code": "US",
            "telephone_number": "540-479-4777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.