Mary Cathleen Academia Madanguit, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05011126A Issued in IN

Practice address

2079 Deer Valley CT
Columbus, IN 47201-1598

Phone

(812) 498-8412

NPI assigned

Jun 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Physical Therapy, LLC

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1316940505
  Medicare reassignment

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1912345182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2079 DEER VALLEY CT",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472011598",
            "telephone_number": "812-498-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2079 DEER VALLEY CT",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472011598",
            "telephone_number": "812-498-8412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4021 N Pine Island Rd",
            "address_2": "Apartment 404",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333516520",
            "country_code": "US",
            "telephone_number": "954-300-6042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADANGUIT",
        "first_name": "MARY CATHLEEN",
        "middle_name": "ACADEMIA",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05011126A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1104481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M.D. Choice Home Healthcare LLC
• Rachel A Maass-O'Haver, MSW,LCSW
• Valerie Macias, RBT
• Claire Macintyre, DDS
• Jonathon Mack, RBT
• Mallory Maguire
• Kristain Mails
• McKenna Major
• Michael Mak IV, M.D.
• Mary Mallay, MSW,LCSW, LCAC

• Physical Therapist in Columbus, IN
• Providers in Columbus, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.