Healthcare Provider Details

I. General information

NPI: 1730962200
Provider Name (Legal Business Name): MADISON SEHMAN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12840 TAMIAMI TRL N STE 200
NAPLES FL
34110-1619
US

IV. Provider business mailing address

25241 ELEMENTARY WAY STE 200
BONITA SPRINGS FL
34135-7883
US

V. Phone/Fax

Practice location:
  • Phone: 239-592-5500
  • Fax: 239-592-1614
Mailing address:
  • Phone: 239-947-4184
  • Fax: 239-947-4184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number121096
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT41172
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL81044
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: