Jane Anne Madden, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2598 Issued in ID

Practice address

6098 E Grand Prairie Dr
Boise, ID 83716-4700

Phone

(208) 813-1330

NPI assigned

Jun 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Proximity Telehealth LLC

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1881180776
  NPD Authorized official

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1659317899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6098 E GRAND PRAIRIE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837164700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6098 E GRAND PRAIRIE DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837164700",
            "telephone_number": "208-813-1330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Landrum Pl",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370436329",
            "country_code": "US",
            "telephone_number": "931-221-9967",
            "fax_number": "931-221-9934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "JANE",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012676A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018094",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon J. Macner, AU.D.
• Kathryn Elizabeth Macomb, M.P.T.
• Brekk C Macpherson, NP
• Karl Joseph Madaras-Kelly, PHARMD
• Cheryl Maddalena, PSYD
• Cody Maddox
• Shelby Suzanne Mader, DPT
• Suzanne Mader, SLP
• Michael D Madison, D.O.
• Nikita Madison, LMT

• Physical Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.