NPIMap

Organization Active NPI

Madison Physical Therapy

  • Physical Therapy Clinic/Center
  • Madison, SD
National Provider Identifier
1508375106
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MADISON PHYSICAL THERAPY
Practice address
411 SE 10TH St Ste 103
Madison, SD 57042-3571
Phone
(605) 201-0784
NPI assigned
Sep 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Authorized official

Name
Kristin K Fox, PTNPI 1588861132
Title
Physical Therapist/Owner
Phone
(605) 201-0784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

411 SE 10TH St Ste 103
Madison, SD 57042-3571

Mailing address

PO Box 39
Howard, SD 57349-0039
Phone (605) 772-2131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180111002198 SD Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204194962 Receives reassigned benefits from 8 practitioners
Practice locations: Arlington, SD; Madison, SD

National Provider Directory

National Provider Directory

Locations

1119 John Deere Cir
Ste C
Madison, SD 57042
Phone (605) 556-0175

411 SE 10th St
Ste 103
Madison, SD 57042
Phone (605) 556-0175

1119 John Deere Cir
Ste 3
Madison, SD 57042

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506470400000",
    "number": "1508375106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "HOWARD",
            "state": "SD",
            "postal_code": "573490039",
            "telephone_number": "605-772-2131",
            "fax_number": "605-772-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 SE 10TH ST STE 103",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570423571",
            "telephone_number": "605-201-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2017-09-27",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "605-201-0784",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.