Active NPI
Madison Eve Bartnikowski, PT, DPT, LAT, ATC
- Physical Therapy Clinic/Center
- Thief River Falls, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 13434
- Practice address
- 1511 US Highway 59 SE Ste a
Thief River Falls, MN 56701-3413 - Phone
- (218) 681-0449
- Fax
- (218) 325-4501
- NPI assigned
- Oct 5, 2017
- Last updated
- May 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | ||
| Physical Therapy Clinic/Center | 261QP2000X | PT61172214 | WA | |
| Physical Therapy Clinic/Center | 261QP2000X | 13434 | MN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Athletic Trainer | 2255A2300X | NU |
Addresses
Primary practice location
1511 US Highway 59 SE Ste a
Thief River Falls, MN 56701-3413
Mailing address
1511 US Highway 59 SE Ste a
Thief River Falls, MN 56701-3413
Phone (218) 681-0449
Other practice location 1
5029 Evergreen Way
Everett, WA 98203-2826
Phone (425) 252-1642
Other names 1
- Dr. Madison Eve Truscinski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1511 Hwy 59 S
Suite a
Thief River Falls, MN 56701-3413
Phone (218) 681-0449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT61172214 | WA | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabauthority, LLC | Physical Therapy | Current | Accepting new patients |
Locations
100 Highway 10 E
Ste 1
Hawley, MN 56549
Phone (218) 420-0950
1511 Highway 59 S
Thief Rvr Fls, MN 56701
Phone (218) 681-0449
1511 US Highway 59 SE
Ste A
Thief Rvr Fls, MN 56701
Phone (218) 681-0449
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Grand Forks, ND
- NPI 1730159690
MN, Physical Therapy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1699285593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 US HIGHWAY 59 SE STE A",
"city": "THIEF RIVER FALLS",
"state": "MN",
"postal_code": "567013413",
"telephone_number": "218-681-0449",
"fax_number": "218-325-4501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 US HIGHWAY 59 SE STE A",
"city": "THIEF RIVER FALLS",
"state": "MN",
"postal_code": "567013413",
"telephone_number": "218-681-0449",
"fax_number": "218-325-4501"
}
],
"practiceLocations": [
{
"address_1": "5029 Evergreen Way",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982032826",
"country_code": "US",
"telephone_number": "425-252-1642",
"fax_number": "425-258-1824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTNIKOWSKI",
"first_name": "MADISON",
"middle_name": "EVE",
"name_prefix": "Dr.",
"credential": "PT, DPT, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-05",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "WA",
"license": "PT61172214",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "MN",
"license": "13434",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADISON",
"last_name": "TRUSCINSKI",
"middle_name": "EVE",
"prefix": "DR.",
"credential": "PT, DPT, LAT, ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Thief River Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.