Individual provider Active NPI

Madeline Plucknette, PT, DPT

  • Physical Therapist
  • Conifer, CO
National Provider Identifier
1730807371
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020404 Issued in CO
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

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20221012000840 MA Practitioner - Physical Therapist in Private Practice 0042686396 Reassigns benefits to 2 organizations

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
DG Physical Therapy PCGroup PAC ID 0143503680, 42 clinicians

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

LicenseStateTypeSpecialty
PTL.0020404COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DG Physical Therapy PC Physical Therapist Current Accepting new patients
DG Physical Therapy, P.C. CurrentSince Oct 13, 2025 Accepting new patients
Sports Medicine North Orthopaedic Surgery, Inc. Physical Therapist CurrentSince Sep 6, 2022 Accepting new patients
Sports Medicine North Orthopaedic Surgery, Inc Physical Therapist CurrentSince Sep 6, 2022 Accepting new patients
DG Physical Therapy PC CurrentSince Oct 13, 2025 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.

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.

Verify at the official NPI Registry.