STEPHEN W MADEN (PT) – Physical Therapist, NPI 1174527790

STEPHEN W MADEN (PT) is a healthcare provider. based in La crosse, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 10289 (WI). The NPI Number for STEPHEN W MADEN (PT) is 1174527790

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN W MADEN (PT)
NPI
1174527790
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
10 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
5416539696
Graduation Year
1995 (31 years ago)
PAC ID
8820067309
Group Practice PAC ID
6406048222
Professional Enrollment ID
I20260311003099
Address ID
OR974053785EU90XXXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for STEPHEN W MADEN (PT)

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

  • Gundersen Lutheran Medical Center Onalaska, 3111, Gundersen Drive, Onalaska, La Crosse County, Wisconsin, 54650, United States

    ONALASKA, WI 546508512

    Phone: (608) 782-7300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260311003099IPhysical Therapist In Private PracticeORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406048222View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOH
-OH
-OR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
-OR

Reviews

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Frequently asked questions

Can I cross-check STEPHEN W MADEN (PT) using NPI 1174527790?
NPI 1174527790 belongs to STEPHEN W MADEN (PT); compare other details if you need extra assurance.
Is STEPHEN W MADEN (PT) shown as active in public data?
Registry records indicate STEPHEN W MADEN (PT) maintains an active NPI.
What expertise is attributed to STEPHEN W MADEN (PT)?
STEPHEN W MADEN (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with STEPHEN W MADEN (PT)?
Directory geography for STEPHEN W MADEN (PT) centers on La Crosse, Wisconsin.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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