Active NPI
Madyson Drye, PT
- Physical Therapist
- Amarillo, TX
National Provider Identifier
1982158291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1279062
- Practice address
- 4557 S Western St Ste B4
Amarillo, TX 79109-8044 - Phone
- (833) 233-7875
- Fax
- (801) 206-3059
- NPI assigned
- Aug 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1279062 | TX | Primary |
Addresses
Primary practice location
4557 S Western St Ste B4
Amarillo, TX 79109-8044
Mailing address
2021 E Village Green Cir Ste C
Draper, UT 84020-5500
Phone (833) 233-7875
Other practice location 1
3840 Hulen St Ste 100
Fort Worth, TX 76107-7269
Phone (817) 569-4300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360879601 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1279062 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1982158291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 E VILLAGE GREEN CIR STE C",
"city": "DRAPER",
"state": "UT",
"postal_code": "840205500",
"telephone_number": "833-233-7875",
"fax_number": "801-206-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4557 S WESTERN ST STE B4",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791098044",
"telephone_number": "833-233-7875",
"fax_number": "801-206-3059"
}
],
"practiceLocations": [
{
"address_1": "3840 Hulen St Ste 100",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761077269",
"country_code": "US",
"telephone_number": "817-569-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRYE",
"first_name": "MADYSON",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1279062",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "360879601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.