Healthcare Provider Details

I. General information

NPI: 1689795767
Provider Name (Legal Business Name): LISA S MADIGAN-CAREY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8965 GUILFORD RD STE 160
COLUMBIA MD
21046-2396
US

IV. Provider business mailing address

2994 OLD AIRPORT RD
NEW BERN NC
28562-8738
US

V. Phone/Fax

Practice location:
  • Phone: 410-474-4397
  • Fax:
Mailing address:
  • Phone: 252-672-8680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberP18523
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: