Individual provider Active NPI

Susan Marie Madel, PT

  • Physical Therapist
  • Malvern, PA
National Provider Identifier
1770644015
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008114L Issued in PA
Practice address
266 Lancaster Ave
Malvern, PA 19355-3256
Phone
(610) 640-4133
Fax
(610) 640-0630
NPI assigned
Dec 12, 2006
Last updated
Dec 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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 PT008114L PA Primary

Addresses

Primary practice location

266 Lancaster Ave
Malvern, PA 19355-3256

Mailing address

50 Colleen Cir
Downingtown, PA 19335-4935
Phone (484) 237-8940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080414000052 PA Practitioner - Physical Therapist in Private Practice 9032296132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1161 McDermott Dr
Suite 250
West Chester, PA 19380-4064
Phone (484) 356-9401

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT008114LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD Physical Therapist CurrentSince Feb 1, 2013 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD Physical Therapist CurrentSince Feb 1, 2013 Accepting new patients
Aum Physical Therapy, P.C. Physical Therapist Past Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

266 Lancaster Ave
Ste 200
Malvern, PA 19355
Phone (610) 640-4133

3809 West Chester Pike
Ste 150
Newtown Square, PA 19073
Phone (484) 356-9401

1161 McDermott Dr
West Chester, PA 19380
Phone (484) 356-9401

Interoperability endpoints

  • Direct secure messaging: susan.madel.1@22724.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1770644015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COLLEEN CIR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193354935",
            "telephone_number": "484-237-8940",
            "fax_number": "610-687-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 LANCASTER AVE",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553256",
            "telephone_number": "610-640-4133",
            "fax_number": "610-640-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADEL",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008114L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.