Individual provider Active NPI

Madison Eve Bartnikowski, PT, DPT, LAT, ATC

  • Physical Therapy Clinic/Center
  • Thief River Falls, MN
National Provider Identifier
1699285593
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
13434 Issued in MN
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524002588 MN Practitioner - Physical Therapist in Private Practice 8325444383 Reassigns benefits to 1 organization

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
Rehabauthority LLCGroup PAC ID 1355333931, 48 clinicians

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

LicenseStateTypeSpecialty
PT61172214WAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabauthority, LLC Physical Therapy CurrentSince May 13, 2024 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.

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.

Verify at the official NPI Registry.