Madison Hanson Edokobi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1 Kendall SQ Ste B14104
Cambridge, MA 02139-1573

Phone

(617) 491-0264

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Carl Gustafson LLC

  • Physical Therapist
  • Wellesley, MA
  • NPI 1356366082
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1689246167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WATER ST APT 314",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021411290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KENDALL SQ STE B14104",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391573",
            "telephone_number": "617-491-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDOKOBI",
        "first_name": "MADISON",
        "middle_name": "HANSON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Economidou, M.D.
• Hasnaa Eddaoudi
• Jessica Edelglass, MS
• Goldie Adele Eder, LICSW
• Pascale Edmond, RN
• Alexis A Edwards, B.A.
• Lea Edwards
• Annelise Eeckman, PHARMD
• Fadumo Egal Jr.
• Austin Patrick Egan, MD

• Physical Therapist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.