Ralph Michael Maddocks, PT MS OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5576 Issued in NC

Practice address

3515 Glenwood Ave
Raleigh, NC 27612-4934

Phone

(919) 781-4060

Fax

(919) 781-5246

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Rex Hospital Inc

  dba Rex Radiology Specialists

  • Diagnostic Radiology Physician
  • Raleigh, NC
  • NPI 1831613363
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1659398006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124934",
            "telephone_number": "919-781-4060",
            "fax_number": "919-781-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 GLENWOOD AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124934",
            "telephone_number": "919-781-4060",
            "fax_number": "919-781-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOCKS",
        "first_name": "RALPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT MS OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "5576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "078WC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC ACN MPN",
            "identifier": "836265",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3075129",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6698919",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5658651",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC ACN MPN",
            "identifier": "4872760",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Madan
• Yair Leon Madar, BCBA
• Mandy Allison Madden, DNP, FNP-C
• Reginald Levon Madden, DNP
• Sarah D. Maddison, M.D.
• Brian Maddox, ATC
• Marquetta Maddox, LMT
• Thomas Wilbur Maddox, MD
• Joseph Michael Maddux, PA-C, MSHS
• Nancy Madenyika, MSW, LCSW

• Physical Therapist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.