Healthcare Provider Details

I. General information

NPI: 1023846540
Provider Name (Legal Business Name): MADISON HOTCHKISS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2024
Last Update Date: 07/25/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 MEDICAL BLVD STE 101
NAPLES FL
34110-1417
US

IV. Provider business mailing address

16282 ALLURA CIR APT 1222
NAPLES FL
34110-9305
US

V. Phone/Fax

Practice location:
  • Phone: 239-593-3501
  • Fax:
Mailing address:
  • Phone: 239-776-2696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT37581
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: