Jennifer Lynn Madeira, MS, PT
Individual provider Active NPI Physical Therapist · Denver, PA
NPI 1922201235 · NPPES record last updated Jun 24, 2009
Key facts
- NPI
- 1922201235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 349 Hawthorne Dr
Denver, PA 17517-1720 - Phone
- (717) 336-2829
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-013149-L | PA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hands Therapy, Inc | Past | Accepting new patients | |
| Easter Seals Eastern Pennsylvania | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT-013149-L | PA | |
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
349 Hawthorne Dr
Denver, PA 17517-1720
Mailing address
349 Hawthorne Dr
Denver, PA 17517-1720
Phone (717) 336-2829
Other providers in Denver, PA
- Donald L Klein
- Leroy M. Anderson Inc
- Shirley Lichtenberger
- Jane Ellen Longenecker
- Tiffany Losito
- Jennifer Kathryn McCullough
- Samuel Patrick McGuckin
- Michael Steven Metz
- Jodie Sue Mitchell
- Yinet Montes de Oca Suarez
All providers in Denver, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.