Provider Demographics
NPI:1124157573
Name:MADSEN, RACHEL ANN (PT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:MADSEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:SCHERER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:173 HUNGRY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6111
Mailing Address - Country:US
Mailing Address - Phone:845-290-0386
Mailing Address - Fax:845-290-0386
Practice Address - Street 1:173 HUNGRY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977-6111
Practice Address - Country:US
Practice Address - Phone:845-290-0386
Practice Address - Fax:845-290-0386
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004744-1225100000X
NJ40QA01227300225100000X
NH0978225100000X
WI2385225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist