Individual provider Active NPI

Madaline Rose Duggins, PT DPT

  • Physical Therapist
  • Leitchfield, KY
National Provider Identifier
1558035329
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008315 Issued in KY
Practice address
201 S Main St
Leitchfield, KY 42754-1425
Phone
(270) 230-1729
Fax
(270) 230-1750
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 008315 KY Primary

Addresses

Primary practice location

201 S Main St
Leitchfield, KY 42754-1425

Mailing address

383 Corbin Center Dr
Corbin, KY 40701-1895
Phone (606) 526-2909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230705001765 KY Practitioner - Physical Therapist in Private Practice 4486013786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Pros, Inc. Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
PT Pros, Inc. Physical Therapist Current Accepting new patients
PT Pros, Inc. Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients

Locations

383 Corbin Center Dr
Corbin, KY 40701
Phone (606) 526-2909

4031 N Dixie Hwy
Ste 104
Elizabethtown, KY 42701
Phone (270) 982-4776

201 S Main St
Leitchfield, KY 42754
Phone (270) 230-1729

Organizations & group practices 7

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1558035329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 CORBIN CENTER DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011895",
            "telephone_number": "606-526-2909",
            "fax_number": "606-526-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541425",
            "telephone_number": "270-230-1729",
            "fax_number": "270-230-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGINS",
        "first_name": "MADALINE",
        "middle_name": "ROSE",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leitchfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.