MADISON PHYSICAL THERAPY SERVICES – Physical Therapist, NPI 1508879883

MADISON PHYSICAL THERAPY SERVICES is a healthcare provider. based in Madison, Alabama. specializing in Physical Therapist. The organization holds a License No. PTH3369 (AL). The NPI Number for MADISON PHYSICAL THERAPY SERVICES is 1508879883

Main info

Organization
Name
MADISON PHYSICAL THERAPY SERVICES
NPI
1508879883
Phone
(256) 325-3280
Address
7693 HIGHWAY 72 W
Authorized Official
VICTOR DALE RUSSELL PRESIDENT R.P.T.
Enumeration Date
15 August 2006
Last Update Date
8 June 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for MADISON PHYSICAL THERAPY SERVICES

  • Township Highway 72, Fairfield Township, Madison County, Ohio, United States

    MADISON, AL 357588750

    Phone: (256) 325-3280

    Fax: (256) 325-3281

    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: 2005-01-12

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
O20050112000976OClinic/Group PracticeALTBD

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 35758)

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Reviews

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Frequently asked questions

Is there an official ID for MADISON PHYSICAL THERAPY SERVICES in U.S. healthcare records?
The official identifier for MADISON PHYSICAL THERAPY SERVICES is NPI 1508879883.
Is MADISON PHYSICAL THERAPY SERVICES shown as active in public data?
Registry records indicate MADISON PHYSICAL THERAPY SERVICES maintains an active NPI.
What expertise is attributed to MADISON PHYSICAL THERAPY SERVICES?
MADISON PHYSICAL THERAPY SERVICES's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MADISON PHYSICAL THERAPY SERVICES associated with Madison?
Public fields place MADISON PHYSICAL THERAPY SERVICES around Madison, Alabama. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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