Active NPI
Madison Ann Greazel, DPT
- Physical Therapist
- Indianola, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 118435
- Practice address
- 307 E Scenic Valley Ave Ste 300
Indianola, IA 50125-4865 - Phone
- (515) 643-9109
- Fax
- (515) 643-9138
- NPI assigned
- Feb 4, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 118435 | IA | Primary |
Addresses
Primary practice location
307 E Scenic Valley Ave Ste 300
Indianola, IA 50125-4865
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-9109
Other practice location 1
200 E Division St N
Audubon, IA 50025-1505
Phone (712) 304-1758
Other names 1
- Madison Ann Hagedorn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Creighton University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
307 E Scenic Valley Ave
300 Mercyone Indianola Physical Therapy Cli
Indianola, IA 50125-4865
Phone (515) 643-9109
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics Inc | Physical Therapist | Current | Accepting new patients |
| Mercy Clinics, Inc. | Current | Accepting new patients |
Locations
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454
3310 SW 9th St
Des Moines, IA 50315
Phone (515) 244-5005
307 E Scenic Valley Ave
Ste 300
Indianola, IA 50125
Phone (515) 643-9109
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
-
- Physical Therapist
- Indianola, IA
- NPI 1912187394
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1992337398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-9109",
"fax_number": "515-643-9138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E SCENIC VALLEY AVE STE 300",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501254865",
"telephone_number": "515-643-9109",
"fax_number": "515-643-9138"
}
],
"practiceLocations": [
{
"address_1": "200 E Division St N",
"address_purpose": "LOCATION",
"city": "Audubon",
"state": "IA",
"postal_code": "500251505",
"country_code": "US",
"telephone_number": "712-304-1758",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREAZEL",
"first_name": "MADISON",
"middle_name": "ANN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "118435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADISON",
"last_name": "HAGEDORN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indianola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.