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NPI Code Detail

MEDICARE: MADISON TAYLOR BIS PT, DPT

MEDICARE: MADISON TAYLOR BIS PT, DPT
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 Therapist015063CT

General Provider Information

NPI Number : 1245181023
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON TAYLOR BIS PT, DPT
Provider Business Mailing Address
First Line : 356 WINDHAM AVE
Second Line :
City : COLCHESTER
State : CT
Zip : 06415-2806
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 EMERSON DR
Second Line :
City : WINDSOR
State : CT
Zip : 06095-3204
Country : US
Telephone Number : 860-688-6433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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