Jacob Madigan DPT LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT30357 Issued in FL

Legal business name

JACOB MADIGAN DPT LLC

Practice address

13296 Valewood Drive
Naples, FL 34119

Phone

(608) 575-0949

Fax

(239) 294-3701

NPI assigned

Apr 25, 2017

Organization subpart

No

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

Authorized official

Name

Jacob Madigan, DPTNPI 1518338128

Title

Owner / Physical Therapist

Phone

(608) 575-0949

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Madigan, DPT

  • Physical Therapist
  • Naples, FL
  • NPI 1518338128
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1831624188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13296 VALEWOOD DRIVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "608-575-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13296 VALEWOOD DRIVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "608-575-0949",
            "fax_number": "239-294-3701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15454 Summit Place Cir",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341194122",
            "country_code": "US",
            "telephone_number": "608-575-0949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACOB MADIGAN DPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "MADIGAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "608-575-0949",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Ryan Jackson, M.D.
• Kelly Ann Jackson, SLP
• Margaret Jackson
• Sharon Christina Jackson, M.D.
• Timothy L Jackson
• Aaron Matthew Jacobs, MD
• Brian Jacobson
• Michael Thomas Jacobson, M.D.
• Peter John Jaffe, D.O.
• Russell J Jaffe, OT

• Physical Therapist in Naples, FL
• Providers in Naples, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.