Individual provider Active NPI

Madison Archer, PT, DPT

  • Physical Therapist
  • St Petersburg, FL
National Provider Identifier
1639055577
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT44907 Issued in FL
Practice address
4020 Park St N Ste 101
St Petersburg, FL 33709-4030
Phone
(727) 388-4688
NPI assigned
Aug 14, 2025
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305217269 VA
Physical Therapist 225100000X PT44907 FL Primary

Addresses

Primary practice location

4020 Park St N Ste 101
St Petersburg, FL 33709-4030

Mailing address

2404 Potters Rd Ste 400
Virginia Beach, VA 23454-4335

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023004382 VA Practitioner - Physical Therapist in Private Practice 4880182591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Life Physical Therapy and Sports MedicineGroup PAC ID 1355500240, 11 clinicians

Practice addresses (Care Compare)

2404 Potters Rd
Suite 400
Virginia Beach, VA 23454-4335
Phone (757) 961-5888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305217269VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DKB Health LLC Fyzical Therapy and Balance Center Physical Therapist CurrentSince Aug 10, 2026 Accepting new patients
Best Life Physical Therapy and Sports Medicine Physical Therapist CurrentSince Oct 3, 2025 Accepting new patients

Locations

4020 Park St N
Ste 101
St Petersburg, FL 33709
Phone (727) 388-4688

2404 Potters Rd
Ste 400
Virginia Beach, VA 23454
Phone (757) 340-8805

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1639055577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 POTTERS RD STE 400",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 PARK ST N STE 101",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337094030",
            "telephone_number": "727-388-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "MADISON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305217269",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT44907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.