Active NPI
Madeline Plucknette, PT, DPT
- Physical Therapist
- Conifer, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0020404
- Practice address
- 26367 Conifer Rd Ste a
Conifer, CO 80433-9137 - Phone
- (303) 838-3900
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26367 | MA | |
| Physical Therapist | 225100000X | PTL.0020404 | CO | Primary |
Addresses
Primary practice location
26367 Conifer Rd Ste a
Conifer, CO 80433-9137
Mailing address
375 Bromley Rd
Churchville, NY 14428-9700
Phone (585) 857-0022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
242 Sturbridge Rd
Charlton, MA 01507-5327
Phone (508) 248-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0020404 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DG Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| DG Physical Therapy, P.C. | Current | Accepting new patients | |
| Sports Medicine North Orthopaedic Surgery, Inc. | Physical Therapist | Current | Accepting new patients |
| Sports Medicine North Orthopaedic Surgery, Inc | Physical Therapist | Current | Accepting new patients |
| DG Physical Therapy PC | Current | Accepting new patients | |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past | Accepting new patients |
Locations
242 Sturbridge Rd
Charlton, MA 01507
Phone (508) 248-3200
4 Meeting House Rd
Ste 5
Chelmsford, MA 01824
Phone (978) 970-2460
1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562
2 1st Ave
Ste 211
Peabody, MA 01960
Phone (978) 535-1213
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- Chelmsford, MA
- NPI 1295279198
Physical Therapist
-
- Specialist
- Peabody, MA
- NPI 1760423719
Physical Therapist
-
- Physical Therapy Clinic/Center
- Charlton, MA
- NPI 1649732074
-
- Physical Therapy Clinic/Center
- North Grafton, MA
- NPI 1881270544
-
- Multi-Specialty Clinic/Center
- Gloucester, MA
- NPI 1679168652
Physical Therapist
-
- Physical Therapy Clinic/Center
- Englewood, CO
- NPI 1265401897
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1730807371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 BROMLEY RD",
"city": "CHURCHVILLE",
"state": "NY",
"postal_code": "144289700",
"telephone_number": "585-857-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26367 CONIFER RD STE A",
"city": "CONIFER",
"state": "CO",
"postal_code": "804339137",
"telephone_number": "303-838-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUCKNETTE",
"first_name": "MADELINE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "26367",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0020404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conifer, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.