Provider Demographics
NPI:1356016596
Name:BEST, MADISON BELL (PT)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:BELL
Last Name:BEST
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 W ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-8959
Mailing Address - Country:US
Mailing Address - Phone:919-602-4919
Mailing Address - Fax:
Practice Address - Street 1:506 W ACADEMY ST
Practice Address - Street 2:
Practice Address - City:WENDELL
Practice Address - State:NC
Practice Address - Zip Code:27591-8959
Practice Address - Country:US
Practice Address - Phone:919-602-4919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP20674225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP20674OtherPT LICENSE NUMBER