Individual provider Active NPI

Emma L Madonna

  • Physical Therapist
  • Liverpool, NY
National Provider Identifier
1740046192
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
051927 Issued in NY
Practice address
604 Old Liverpool Rd Ste 2
Liverpool, NY 13088-6033
Phone
(315) 635-5000
Fax
(315) 451-1752
NPI assigned
Feb 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 051927 NY Primary

Addresses

Primary practice location

604 Old Liverpool Rd Ste 2
Liverpool, NY 13088-6033

Mailing address

8390 Oswego Rd
Liverpool, NY 13090-1002
Phone (315) 635-5000

Other practice location 1

8390 Oswego Rd
Liverpool, NY 13090-1002
Phone (315) 635-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319002781 NY Practitioner - Physical Therapist in Private Practice 9830536499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of Ny Upstate Medical University, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onondaga Physical Therapy, LLCGroup PAC ID 8325039365, 25 clinicians

Practice addresses (Care Compare)

7575 Buckley Rd
Syracuse, NY 13212-1047
Phone (315) 635-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Onondaga Physical Therapy, LLC Physical Therapist Current Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Onondaga Physical Therapy Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

19 E Genesee St
Ste 103
Baldwinsville, NY 13027

8390 Oswego Rd
Liverpool, NY 13090
Phone (315) 652-4323

604 Old Liverpool Rd
Ste 2
Liverpool, NY 13088
Phone (315) 218-1451

7575 Buckley Rd
Syracuse, NY 13212
Phone (315) 635-0000

Organizations & group practices 4

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": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1740046192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901002",
            "telephone_number": "315-635-5000",
            "fax_number": "315-451-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OLD LIVERPOOL RD STE 2",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886033",
            "telephone_number": "315-635-5000",
            "fax_number": "315-451-1752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8390 Oswego Rd",
            "address_purpose": "LOCATION",
            "city": "Liverpool",
            "state": "NY",
            "postal_code": "130901002",
            "country_code": "US",
            "telephone_number": "315-635-5000",
            "fax_number": "315-451-1752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADONNA",
        "first_name": "EMMA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "051927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

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