Kelly G Madigan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT871555 Issued in DC

Practice address

432 Madison Forest Dr
Herndon, VA 20170-3329

Phone

(703) 581-7467

NPI assigned

Aug 30, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1932533569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "703-581-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 MADISON FOREST DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703329",
            "telephone_number": "703-581-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIGAN",
        "first_name": "KELLY",
        "middle_name": "G",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20657",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Lytle, RBT
• M.F.Hakimelahi,DDS,Inc.
• Peter John Macdaniel, D.P.T.
• Deborah Ann Macfarland, BCABA
• Taylor Macuci
• Jahnnavi Madiraju, MD
• Amanda Maharaj
• Christine Mai
• Jacqueline Lee Maier, PTA, CLT
• Joan Paola Rodriguez Majano, MED, BCBA, LBA

• Physical Therapist in Herndon, VA
• Providers in Herndon, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.