MADISON TINKER- JOHNSON (DPT) – Physical Therapist, NPI 1619718210

MADISON TINKER- JOHNSON (DPT) is a healthcare provider. based in Cheyenne, Wyoming. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT-2408 (WY). The NPI Number for MADISON TINKER- JOHNSON (DPT) is 1619718210

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MADISON TINKER- JOHNSON (DPT)
NPI
1619718210
Phone
Not provided
Address
1331 PRAIRIE AVE STE 6
Enumeration Date
5 June 2024
Last Update Date
29 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076374617
Graduation Year
2024 (2 years ago)
PAC ID
3971041062
Group Practice PAC ID
9234161035
Professional Enrollment ID
I20240820004327
Address ID
WY820012064CH4020XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

389 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WY

Provider Addresses for MADISON TINKER- JOHNSON (DPT)

  • 1331 PRAIRIE AVE STE 6

    CHEYENNE, WY 820094867

    Phone:

    Mailing address matches the actual address.

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: 2024-08-20

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
I20240820004327IPhysical Therapist In Private PracticeWYTBD

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 82009)

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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: 9234161035View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeMT
Physical Therapist In Private PracticeWY
-WY

Reviews

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Frequently asked questions

What unique ID ties claims to MADISON TINKER- JOHNSON (DPT)?
NPI 1619718210 is assigned to MADISON TINKER- JOHNSON (DPT) under the national enumeration system.
Is MADISON TINKER- JOHNSON (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MADISON TINKER- JOHNSON (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MADISON TINKER- JOHNSON (DPT). Clinical services aligned with this taxonomy classification.
Where does public data place MADISON TINKER- JOHNSON (DPT)?
The snapshot lists Cheyenne, Wyoming for MADISON TINKER- JOHNSON (DPT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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