MEDICARE: JAMES MADONNA PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501006190	MI

General Provider Information

NPI Number	:	1013408962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MADONNA PT

Provider Business Mailing Address
First Line	:	80650 VAN DYKE RD
Second Line	:
City	:	BRUCE TWP
State	:	MI
Zip	:	48065-1333
Country	:	US
Telephone Number	:	810-798-6470
Fax Number	:	810-798-6476

Provider Business Practice Location Address
First Line	:	80650 VAN DYKE RD
Second Line	:
City	:	BRUCE TWP
State	:	MI
Zip	:	48065-1333
Country	:	US
Telephone Number	:	810-798-6470
Fax Number	:	810-798-6476

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2018
Last Update Date	:	04/07/2021

Similar Medicare Providers

1093779670 — DR. BRIAN A MCCARROLL D.O.
Practice Location Address:

80600 VAN DYKE RD
BRUCE TWP, MI
48065-1333

Practice Phone: 810-798-6560
Practice Fax: 810-798-6563

1023022506 — ALAN J HOYER MD
Practice Location Address:

80650 VAN DYKE RD
BRUCE TWP, MI
48065-1333

Practice Phone: 810-798-6430
Practice Fax: 810-798-6436

1528133451 — MICHAEL JOHN PLOCINIK PA
Practice Location Address:

80600 VAN DYKE RD
BRUCE TWP, MI
48065-1333

Practice Phone: 810-798-6560
Practice Fax: 810-798-6563

1487868121 — MRS. HILDA C. FERRARER-BLAIR M.D.
Practice Location Address:

80650 VAN DYKE RD
BRUCE TWP, MI
48065-1333

Practice Phone: 810-798-6410
Practice Fax: 810-798-6419

1205060076 — HENRY FORD MACOMB HOSPITAL CORPORATION
Practice Location Address:

80650 VAN DYKE RD
BRUCE TWP, MI
48065-1333

Practice Phone: 810-798-6433
Practice Fax: 810-798-6436

1154610335 — DR. FARRAH HAFEEZ D.O
Practice Location Address:

80600 VAN DYKE RD
BRUCE TWP, MI
48065-1333

Practice Phone: 810-798-6560
Practice Fax:

Directions to “ JAMES MADONNA PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.