MEDICARE: MADELEINE THOMAS DPT, 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

General Provider Information

NPI Number	:	1275116402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELEINE THOMAS DPT, PT

Provider Business Mailing Address
First Line	:	625 KENMOOR AVE SE STE 100
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-2395
Country	:	US
Telephone Number	:	616-356-5000
Fax Number	:	616-356-5001

Provider Business Practice Location Address
First Line	:	2756 RICHLANDS HWY
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-3611
Country	:	US
Telephone Number	:	910-378-0147
Fax Number	:	910-219-4119

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

Provider Enumeration Date	:	05/05/2021
Last Update Date	:	12/08/2023

Similar Medicare Providers

1851637540 — LAURA JUNE BALLARD DPT
Practice Location Address:

2752 RICHLANDS HWY
JACKSONVILLE, NC
28540-3611

Practice Phone: 910-938-7555
Practice Fax: 910-938-7544

1669083507 — JAMES LACLEDE PT, DPT
Practice Location Address:

2756 RICHLANDS HWY
JACKSONVILLE, NC
28540-3611

Practice Phone: 252-228-4643
Practice Fax:

1447928924 — CATHERINE HERNANDEZ PT
Practice Location Address:

2756 RICHLANDS HWY
JACKSONVILLE, NC
28540-3611

Practice Phone: 910-938-7555
Practice Fax:

1831963578 — KAYLYN VAILLANCOURT PT, DPT
Practice Location Address:

2756 RICHLANDS HWY
JACKSONVILLE, NC
28540-3611

Practice Phone: 910-378-0147
Practice Fax:

1548307069 — DR. VICTORIA LYNN HARPER OTD, OTRL
Practice Location Address:

5350 ARLINGTON EXPY APT 3611
JACKSONVILLE, FL
32211-6876

Practice Phone: 904-729-8646
Practice Fax:

1558845925 — JENNIFER KORDSMEIER
Practice Location Address:

601 HARRIS RD
JACKSONVILLE, AR
72076-3611

Practice Phone: 501-982-7456
Practice Fax:

Directions to “ MADELEINE THOMAS DPT, 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.