Individual provider Active NPI

Madison Ivy Udy, PT, DPT

  • Physical Therapist
  • Cheyenne, WY
National Provider Identifier
1649146507
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2566 Issued in WY
Practice address
3806 Dell Range Blvd Unit 11
Cheyenne, WY 82009-5444
Phone
(307) 222-8993
NPI assigned
Oct 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 PT-2566 WY Primary

Addresses

Primary practice location

3806 Dell Range Blvd Unit 11
Cheyenne, WY 82009-5444

Mailing address

3806 Dell Range Blvd Unit 11
Cheyenne, WY 82009-5444
Phone (307) 222-8993

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251031004015 WY Practitioner - Physical Therapist in Private Practice 6608365218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio Sport and Spine LLCGroup PAC ID 2365799590, 6 clinicians

Practice addresses (Care Compare)

3806 Dell Range Blvd
Suite B11
Cheyenne, WY 82009-5444
Phone (307) 222-8993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2566WYMDLicensed Practical Nurse
PT-2566WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physio Sport & Spine LLC Physical Therapist CurrentSince Oct 16, 2025 Accepting new patients

Locations

3806 Dell Range Blvd
Ste B11
Cheyenne, WY 82009
Phone (307) 222-8993

3806 Dell Range Blvd
Unit 11
Cheyenne, WY 82009
Phone (307) 222-8993

Organizations & group practices 1

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": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1649146507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 DELL RANGE BLVD UNIT 11",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095444",
            "telephone_number": "307-222-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 DELL RANGE BLVD UNIT 11",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095444",
            "telephone_number": "307-222-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDY",
        "first_name": "MADISON",
        "middle_name": "IVY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-2566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.