Individual provider Active NPI

Madison Rose Smith, PT, DPT

  • Physical Therapist
  • Peoria, AZ
National Provider Identifier
1790381291
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP032994T Issued in AZ
Practice address
25101 N Lake Pleasant Pkwy
Peoria, AZ 85383-1386
Phone
(623) 471-5550
NPI assigned
Dec 9, 2020
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 CP032994T AZ Primary

Addresses

Primary practice location

25101 N Lake Pleasant Pkwy
Peoria, AZ 85383-1386

Mailing address

313 Paddock Dr
Greer, SC 29650-3847
Phone (864) 350-2129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP032994TAZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Dec 24, 2020 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Dec 24, 2020 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Dec 24, 2020 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Nov 29, 2021 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Nov 29, 2021 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Dec 24, 2020 Accepting new patients
Ati Holdings, LLC PastSince Jan 1, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1275 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (770) 460-8609

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

62 Carriage Oaks Dr
Tyrone, GA 30290
Phone (770) 969-7166

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2467 W Jonathan Moore Pike
Columbus, IN 47201
Phone (812) 314-7013

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

310 Duran Dr
Shelbyville, IN 46176
Phone (317) 421-0244

14190 Baltimore Ave
Laurel, MD 20707
Phone (240) 542-5924

14190 Baltimore Ave
#A
Laurel, MD 20707
Phone (240) 542-5924

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

200 Patewood Dr
Ste C150
Greenville, SC 29615
Phone (864) 454-0904

10626 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0064

10879 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0085

12023 N Radio Station Rd
#A
Seneca, SC 29678
Phone (864) 985-0770

Organizations & group practices 11

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1790381291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PADDOCK DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296503847",
            "telephone_number": "864-350-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25101 N LAKE PLEASANT PKWY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831386",
            "telephone_number": "623-471-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MADISON",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP032994T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.