Active NPI
Suzette Florence Madson, PT
- Orthopedic Physical Therapist
- Kirkland, WA
National Provider Identifier
1902969678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 025208 PT00006112
- Practice address
- 634 7TH Ave Ofc 6
Kirkland, WA 98033-5665 - Phone
- (425) 542-3306
- Fax
- (425) 747-6367
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 025208 PT00006112 | WA | |
| Physical Therapist | 225100000X | 032698 | NY | |
| Sports Physical Therapist | 2251S0007X | 025208 PT00006112 | WA | |
| Sports Physical Therapist | 2251S0007X | 032698 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 032698 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 025208 PT00006112 | WA | Primary |
Addresses
Primary practice location
634 7TH Ave Ofc 6
Kirkland, WA 98033-5665
Mailing address
PO Box 6175
Bellevue, WA 98008-0175
Phone (425) 643-0373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112243 | Other | WA | LABOR AND INDUSTRIES |
| MA0471 | Other | WA | REGENCE BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220512001167 | WA | Practitioner - Physical Therapist in Private Practice | 7315324399 | Practice locations: Bellevue, WA; Kirkland, WA |
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
Practice addresses (Care Compare)
634 7TH Ave
Ofc 6
Kirkland, WA 98033-5665
Phone (425) 542-3306
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032698 | NY | MD | General Practice Dentistry |
| 025208 PT00006112 | WA | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735689600000",
"number": "1902969678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6175",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980080175",
"telephone_number": "425-643-0373",
"fax_number": "425-747-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 7TH AVE OFC 6",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980335665",
"telephone_number": "425-542-3306",
"fax_number": "425-747-6367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSON",
"first_name": "SUZETTE",
"middle_name": "FLORENCE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2025-01-01",
"certification_date": "2025-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "025208 PT00006112",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032698",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "WA",
"license": "025208 PT00006112",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NY",
"license": "032698",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "032698",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": "025208 PT00006112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "112243",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "MA0471",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.