Active NPI
Mike Thomas Madsen, RRT
- General Care Registered Respiratory Therapist
- Miami Gardens, FL
National Provider Identifier
1891948394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Care Registered Respiratory Therapist
- License
- RT 4532
- Practice address
- 2727 NW 167TH St
Miami Gardens, FL 33056-4406 - Phone
- (305) 622-7575
- Fax
- (305) 622-9464
- NPI assigned
- Oct 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Care Registered Respiratory Therapist | 2279G1100X | RT4532 | FL | |
| General Care Registered Respiratory Therapist | 2279G1100X | RT 4532 | FL | Primary |
Addresses
Primary practice location
2727 NW 167TH St
Miami Gardens, FL 33056-4406
Mailing address
11510 Sheridan St
Pembroke Pines, FL 33026-1428
Phone (954) 438-9456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT 4532 | FL | MD | General Care Registered Respiratory Therapist |
| RT4532 | FL | MD | General Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1891948394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11510 SHERIDAN ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330261428",
"telephone_number": "954-438-9456",
"fax_number": "305-622-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 NW 167TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330564406",
"telephone_number": "305-622-7575",
"fax_number": "305-622-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "MIKE",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-28",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2279G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, General Care",
"state": "FL",
"license": "RT4532",
"primary": false
},
{
"code": "2279G1100X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, General Care",
"state": "FL",
"license": "RT 4532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.