Madeline Delay Gifford, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2020036393 Issued in MO

Practice address

4624 Lansdowne Ave
Saint Louis, MO 63116-1523

Phone

(314) 351-6888

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Madeline Delay Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1750982088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 NEPUTE ST",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626628",
            "telephone_number": "618-263-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 LANSDOWNE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631161523",
            "telephone_number": "314-351-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "MADELINE",
        "middle_name": "DELAY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2020036393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "THOMPSON",
            "middle_name": "DELAY",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Edwin Giese, PA-C
• Angela Theresa Gieseler, PA
• Tara Gieseler
• Korissa Michelle Giesing
• Pamela Sue Gieson, RN
• Gifted Hands Healthcare LLC
• Gifted Hands Home Health Care LLC
• Gifted Hearts Home Health Care
• Gifted Touch Adult Daycare LLC
• Gifted Touch Homecare LLC

• Physical Therapy Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.