Michael Madore

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26196 Issued in MA

Practice address

34 High St
North Andover, MA 01845-2620

Phone

(978) 791-3649

NPI assigned

Jun 22, 2021

Sex

Male

Sole proprietor

Yes

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

Enrolled in MA, NH2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of New England, College of Osteo Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derry Sports and Rehab LLCGroup PAC ID 1052666807, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Derry Sports & Rehab, LLC

  • Physical Therapist
  • Derry, NH
  • NPI 1487670386
  Medicare reassignment Care Compare group NPD
• Proex Physical Therapy, LLC

  • Physical Therapist
  • Woburn, MA
  • NPI 1831190453

  Single Specialty

  Medicare reassignment NPD
• Proex Physical Therapy, LLC

  • Occupational Therapist
  • Boston, MA
  • NPI 1508757956
  NPD
• Derry Sports & Rehab LLC

  dba Salem Sports & Rehab

  • Physical Therapist
  • Salem, NH
  • NPI 1023212198
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662854400000",
    "number": "1497324594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 OLDE ENGLISH LN",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496563",
            "telephone_number": "603-630-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HIGH ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018452620",
            "telephone_number": "978-791-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADORE",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2022-09-11",
        "certification_date": "2022-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ME",
            "license": "AT766",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Macki
• Dianne Macleod
• Kelsey Elizabeth Macmillan
• Katherine Elizabeth Madden, PSY.D.
• Kerry Madden, ATC
• Maureen F Magauran, M.D.
• Magnolia Dentistry, LLC
• Chris Mahanna
• Mylah Nicole Mahon-Davenda, NP
• Matthew Mahoney, D.O.

• Physical Therapist in North Andover, MA
• Providers in North Andover, MA by specialty
• Physical Therapist in Massachusetts

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