MADALYN R DOUGLAS DPT
NPI 1063072650
Physical Therapist in Lake Geneva, WI
About Madalyn R Douglas Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADALYN R DOUGLAS DPT (NPI 1063072650) is an individual physical therapist in Lake Geneva, Wisconsin, licensed in Wisconsin (14716-24) and active in the NPI registry since June 2019.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Madalyn R Douglas Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Madalyn Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Madalyn Douglas's NPI number?
The NPI number for Madalyn Douglas is 1063072650. It was assigned to this individual provider in the NPPES registry on June 17, 2019. The provider is also known as Madalyn R Sawdey.
Where is Madalyn Douglas located?
Madalyn Douglas practices at N2950 State Road 67, Lake Geneva, WI 53147. The listed phone number is (262) 245-4980.
What is Madalyn Douglas's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Madalyn Douglas enrolled in Medicare?
Yes. Madalyn Douglas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Madalyn Douglas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madalyn Douglas reassigns Medicare benefits to Aurora Medical Group, Inc. (West Allis, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madalyn Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madalyn Douglas accept?
Health plans from CareSource (Common Ground Healthcare) and Quartz list Madalyn Douglas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Madalyn Douglas was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.