Individual provider Active NPI

Madeline Davolt

  • Physical Therapist
  • Liberty, MO
National Provider Identifier
1700730249
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2026008549 Issued in MO
Practice address
860 Haines
Liberty, MO 64068-1006
Phone
(816) 265-1170
NPI assigned
Feb 23, 2026
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2026008549MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cwo Enterprises Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2026008549 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

860 Haines
Liberty, MO 64068-1006

Mailing address

120 SW Garden St
Grain Valley, MO 64029-9548
Phone (816) 265-1170

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2026.

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1700730249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SW GARDEN ST",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640299548",
            "telephone_number": "816-265-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HAINES",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681006",
            "telephone_number": "816-265-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVOLT",
        "first_name": "MADELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2026008549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.