Healthcare Provider Details

I. General information

NPI: 1982519757
Provider Name (Legal Business Name): MADISON LIN NEHLEN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8470 FALLS OF NEUSE RD STE 100
RALEIGH NC
27615-3550
US

IV. Provider business mailing address

605 GILCREST FARM RD APT 331
WAKE FOREST NC
27587-1669
US

V. Phone/Fax

Practice location:
  • Phone: 919-803-0738
  • Fax:
Mailing address:
  • Phone: 724-815-6922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP25182
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: