Individual provider Active NPI

Madelyn Fox

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1780295204
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39780 Issued in FL
Practice address
12250 Tamiami TRL E Ste 102
Naples, FL 34113-8108
Phone
(239) 417-0027
Fax
(239) 417-0041
NPI assigned
Aug 10, 2020
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT028668 PA
Physical Therapist 225100000X PT39780 FL Primary

Addresses

Primary practice location

12250 Tamiami TRL E Ste 102
Naples, FL 34113-8108

Mailing address

4169 Estey Ave
Naples, FL 34104-4464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200915000100 PA Practitioner - Physical Therapist in Private Practice 5294153805 Reassigns benefits to 1 organization
I20240823000751 MA Practitioner - Physical Therapist in Private Practice 5294153805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

123 Waterhouse Rd
Suite 204
Bourne, MA 02532-3890
Phone (508) 743-7215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39780FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Perk Physical Therapy & Sports Rehab., Inc Physical Therapist CurrentSince Aug 6, 2020 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Douglass Orthopedic & Spine Rehabilitation, Inc. Physical Therapist CurrentSince Dec 3, 2023 Accepting new patients
Southeastern Health Services of Pennsylvania, LLC PastSince Aug 1, 2020 Accepting new patients
Fyzbiz, LLC Physical Therapist PastSince Dec 3, 2023 Accepting new patients

Locations

25241 Elementary Way
Ste 200
Bonita Springs, FL 34135
Phone (239) 947-4184

12250 Tamiami Trl E
Ste 102
Naples, FL 34113
Phone (239) 417-0027

123 Waterhouse Rd
Ste 204
Bourne, MA 02532
Phone (508) 743-7215

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

2767 Geryville Pike
Pennsburg, PA 18073
Phone (215) 679-0105

Networks

  • Freedom Health HMO Network

Organizations & group practices 7

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": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1780295204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4169 ESTEY AVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341044464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 TAMIAMI TRL E STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341138108",
            "telephone_number": "239-417-0027",
            "fax_number": "239-417-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MADELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT028668",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.