Individual provider Active NPI

Madison Splan

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1760884266
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9135051-2401 Issued in UT
Practice address
5872 S 900 E
Suite 150
Salt Lake City, UT 84121-1676
Phone
(801) 747-3889
Fax
(801) 747-5218
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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 9135051-2401 UT Primary

Addresses

Primary practice location

5872 S 900 E
Suite 150
Salt Lake City, UT 84121-1676

Mailing address

PO Box 711185
Salt Lake City, UT 84171-1185

Other names 1

  • Madison Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220615003018 UT Practitioner - Physical Therapist in Private Practice 2163801531 Reassigns benefits to 3 organizations
I20251201000956 ID Practitioner - Physical Therapist in Private Practice 2163801531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy West IncGroup PAC ID 8921098567, 16 clinicians
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

1050 S Medical Dr a
Mt Pleasant, UT 84647-2200
Phone (435) 274-3533

128 Vista Dr
Pocatello, ID 83201-5824
Phone (208) 233-2248

1950 E Fort Union Blvd
Suite 2
Salt Lake City, UT 84121-6894
Phone (801) 943-1041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Mar 28, 2022 Accepting new patients
Therapy West LLC Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Delta Physical Therapy and Sports Medicine PC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Delta Physical Therapy and Sports Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Therapy West Rehab Agency LLC Past Accepting new patients
McDonald Rehab, PC Physical Therapist PastSince Apr 29, 2024 Accepting new patients

Locations

588 Fort Hall Ave
American Falls, ID 83211
Phone (208) 233-2248

1961 S Broadway Ave
Boise, ID 83706
Phone (208) 344-1851

8727 W Ardene St
Ste 102G
Boise, ID 83709
Phone (208) 322-6200

4623 Enterprise Way
Caldwell, ID 83605
Phone (208) 455-4231

875 E Plaza Dr
Ste 103
Eagle, ID 83616
Phone (208) 229-7075

912 S Washington Ave
Emmett, ID 83617
Phone (208) 365-4400

2210 Coronado St
Idaho Falls, ID 83404
Phone (208) 317-3956

3345 Potomac Way
Idaho Falls, ID 83404
Phone (208) 417-0090

1680 E 1st St
Idaho Falls, ID 83401
Phone (208) 417-0090

672 E Wythe Creek Ct
Ste 103
Kuna, ID 83634
Phone (208) 922-9828

1450 E Fairview Ave
#201
Meridian, ID 83642
Phone (208) 887-6757

5251 E Exchange Way
Nampa, ID 83687
Phone (208) 466-9642

500 S 11th Ave
Ste 506
Pocatello, ID 83201
Phone (208) 233-2248

1800 Flandro Dr
Ste 190
Pocatello, ID 83202
Phone (208) 233-2248

128 Vista Dr
Pocatello, ID 83201
Phone (208) 233-2248

136 W Main St
Rexburg, ID 83440
Phone (208) 233-2248

95 White Sage Ave
Ste C
Delta, UT 84624
Phone (435) 864-2251

1050 S Medical Dr
#A
Mt Pleasant, UT 84647
Phone (435) 274-3533

5872 S 900 E
Ste 150
Murray, UT 84121
Phone (801) 265-0600

343 W Main St
Salina, UT 84654
Phone (435) 274-3491

1950 E Fort Union Blvd
Ste 2
Salt Lake City, UT 84121
Phone (801) 943-1041

4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1760884266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711185",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841711185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5872 S 900 E",
            "address_2": "SUITE 150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211676",
            "telephone_number": "801-747-3889",
            "fax_number": "801-747-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPLAN",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "9135051-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "JONES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.