Madalyn Gerecke, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2021048192 Issued in MO

Practice address

119 Watson PLZ
Saint Louis, MO 63126-1962

Phone

(314) 961-3787

Fax

(314) 961-0974

NPI assigned

Dec 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Madalyn Aubuchon Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back 2 Motion Rehab LLCGroup PAC ID 4587960240, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Back 2 Motion Rehab, LLC

  • Physical Therapist
  • Dardenne Prairie, MO
  • NPI 1942665260

  Orthopedic

  Medicare reassignment Care Compare group NPD
• CRPT, LLC

  • Physical Therapist
  • Maryland Heights, MO
  • NPI 1851756217
  NPD (past)

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1558020230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WATSON PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261962",
            "telephone_number": "314-961-3787",
            "fax_number": "314-961-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WATSON PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261962",
            "telephone_number": "314-961-3787",
            "fax_number": "314-961-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERECKE",
        "first_name": "MADALYN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-10",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "2021048192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADALYN",
            "last_name": "AUBUCHON",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kenneth L Gerdes, M.D.
• Peggy J Gerdes, RN, APN
• Michael L Gerdine, D.C
• Samantha A Gereau, SLP
• Jennifer Alice Gereaux, MD
• Karen Allen Geren, LCSW
• Joeandra Sherryl Gerena
• Jessica Gerfen, PHD
• Mate Gergely, MD
• Shannon Scott Gergen, PHARM.D.

• Orthopedic Physical Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Orthopedic Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.