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NPI Code Detail

MEDICARE: MADDISON SMITH

MEDICARE: MADDISON SMITH
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
1225100000XPhysical Therapist2015003682MO
2225100000XPhysical Therapist6832SC
3225100000XPhysical Therapist13373PTAZ

General Provider Information

NPI Number : 1154832129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADDISON SMITH
Provider Business Mailing Address
First Line : 3000 GOFFS FALLS RD
Second Line :
City : MANCHESTER
State : NH
Zip : 03103-6109
Country : US
Telephone Number : 800-995-2673
Fax Number : 888-979-6551
Provider Business Practice Location Address
First Line : 10101 W PALMERAS DR
Second Line :
City : SUN CITY
State : AZ
Zip : 85373-2046
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2017
Last Update Date : 04/15/2025

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Directions to “ MADDISON SMITH ” Practice Location

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