Healthcare Provider Details

I. General information

NPI: 1790615847
Provider Name (Legal Business Name): MADISON JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2240 GREENSPRING DR
TIMONIUM MD
21093-3114
US

IV. Provider business mailing address

2010 ROCKWELL AVE
CATONSVILLE MD
21228-4218
US

V. Phone/Fax

Practice location:
  • Phone: 667-401-0538
  • Fax:
Mailing address:
  • Phone: 410-259-5262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number30837
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: