Individual provider Active NPI

Madison Nicole Hitchcock, LMT

  • Massage Therapist
  • Central Square, NY
National Provider Identifier
1922618685
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
025449 Issued in NY
Practice address
Kuss Physical and Aquatic Therapy
124 US Route 11
Central Square, NY 13036-9760
Phone
(315) 668-0123
NPI assigned
Aug 6, 2020
Last updated
Aug 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 025449 NY Primary

Addresses

Primary practice location

Kuss Physical and Aquatic Therapy
124 US Route 11
Central Square, NY 13036-9760

Mailing address

127 Slosson Rd
West Monroe, NY 13167-3125
Phone (315) 247-7608

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

LicenseStateTypeSpecialty
025449NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kuss Physical Therapy PLLC Single Specialty CurrentSince Aug 9, 2020 Accepting new patients

Locations

124 US Route 11
Central Square, NY 13036
Phone (315) 668-0123

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1922618685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 SLOSSON RD",
            "city": "WEST MONROE",
            "state": "NY",
            "postal_code": "131673125",
            "telephone_number": "315-247-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KUSS PHYSICAL AND AQUATIC THERAPY",
            "address_2": "124 US ROUTE 11",
            "city": "CENTRAL SQUARE",
            "state": "NY",
            "postal_code": "130369760",
            "telephone_number": "315-668-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HITCHCOCK",
        "first_name": "MADISON",
        "middle_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "025449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Square, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.