Madison Christine Bankston, PT
Individual provider Active NPI Physical Therapist · East Ridge, TN
NPI 1982483863 · NPPES record last updated Sep 28, 2023
Key facts
- NPI
- 1982483863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 14788 (TN)
- Practice address
- 1467 N Mack Smith Rd
East Ridge, TN 37412-3947 - Phone
- (423) 894-4403
- NPI assigned
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agilitas USA, Inc
Practice addresses (Care Compare)
502 N Market St
Suite 102
Chattanooga, TN 37405-4438
Phone (423) 664-1070
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231019003230 | TN | Practitioner - Physical Therapist in Private Practice | 3072969526 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agilitas USA Inc | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
502 N Market St
Ste 102
Chattanooga, TN 37405
Phone (423) 634-1922
1467 N Mack Smith Rd
East Ridge, TN 37412
Phone (423) 894-4403
3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444
5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14788 | TN | Yes |
Addresses
Primary practice location
1467 N Mack Smith Rd
East Ridge, TN 37412-3947
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Other names
- Madison Schuster
Other providers in East Ridge, TN
- Gabriel Affare
- Agilitas USA, Inc
- Rachel Needham Atkins
- Back and Forth Transportation
- Gary H Ballard
- Ray Gene Belanger
- Benchmark Healthcare Services LLC
- Patricia Diane Blasick
- Judith J Boggess
- Mark W Bookout
All providers in East Ridge, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.