Healthcare Provider Details

I. General information

NPI: 1831018027
Provider Name (Legal Business Name): MADISON MARIE WASSINK DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17055 FRANCES ST
OMAHA NE
68130-4655
US

IV. Provider business mailing address

809 W STERLING OAK CIR
SIOUX FALLS SD
57108-4102
US

V. Phone/Fax

Practice location:
  • Phone: 402-280-2200
  • Fax:
Mailing address:
  • Phone: 605-595-4381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: