Provider Demographics
NPI:1508518812
Name:SILVERS, MADISON LAINE (DPT)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:LAINE
Last Name:SILVERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11605 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-2257
Mailing Address - Country:US
Mailing Address - Phone:913-680-7566
Mailing Address - Fax:
Practice Address - Street 1:2500 W WILLIAM CANNON DR STE 409
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5290
Practice Address - Country:US
Practice Address - Phone:512-852-8434
Practice Address - Fax:512-852-8435
Is Sole Proprietor?:No
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist