Healthcare Provider Details

I. General information

NPI: 1174447080
Provider Name (Legal Business Name): MADISON SIMPSON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 COMMERCE ST
CADIZ KY
42211-9796
US

IV. Provider business mailing address

51 COMMERCE ST
CADIZ KY
42211-9796
US

V. Phone/Fax

Practice location:
  • Phone: 270-206-7121
  • Fax: 844-881-9451
Mailing address:
  • Phone: 270-206-7121
  • Fax: 844-881-9451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number009635
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: