Joshua Madonick, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

293676 Issued in CA

Practice address

1320 Industrial Ave Ste K
Petaluma, CA 94952-6522

Phone

(925) 918-0470

NPI assigned

Sep 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Josh Madonick Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Josh Madonick Physical Therapy

  • Physical Therapy Clinic/Center
  • Petaluma, CA
  • NPI 1124917331
  NPD

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1770002339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 EUCALYPTUS RD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949521654",
            "telephone_number": "925-918-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 INDUSTRIAL AVE STE K",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949526522",
            "telephone_number": "925-918-0470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Rowland Way Ste 250",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455062",
            "country_code": "US",
            "telephone_number": "415-898-1311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADONICK",
        "first_name": "JOSHUA",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSH",
            "last_name": "MADONICK",
            "credential": "PT, DPT, CSCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Valeria Macias
• Elizabeth M Maciel
• Michelle Mack
• Patrick Macleamy, PSYD
• Marina Madick
• Jennifer Lisa Madrid
• John Anthony Madrigal Huerta
• Thyra Nicole Magallanes
• Yolimar Magana
• Suzanne Marie Maggio-Hucek, LCSW

• Physical Therapist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.