MADISON GILLEN PT, DPT
NPI 1265208268
Physical Therapist - Sports in Columbia, MD

Active since November 30, 2023Accepts Medicare Assignment
9030 OLD ANNAPOLIS RD STE B, COLUMBIA, MD 21045(443) 979-8535 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Madison Gillen Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON GILLEN PT, DPT (NPI 1265208268) is an individual sports provider in Columbia, Maryland, licensed in Maryland (29716) and active in the NPI registry since November 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1265208268
Entity TypeIndividualFemale
Primary Taxonomy2251S0007X
Provider Legal NameMADISON GILLENCredential: PT, DPT
Location Address9030 OLD ANNAPOLIS RD STE BColumbia, MD 21045-1990
Mailing Address7526 Main St Apt BSykesville, MD 21784-7385 · (774) 274-7326
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1265208268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in MD · 29716
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
9030 OLD ANNAPOLIS RD STE B, Columbia, MD 21045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madison Gillen Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911346135
PECOS Enrollment IDI20240419001957

Medicare Billing Reassignment

Medicare enrollment records show Madison Gillen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
710 S ANN ST FL 2
Baltimore, MD 21231
  • Reassigned Medicare billing, Maryland enrollment
  • 68 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation (Sports Medicine)
9030 OLD ANNAPOLIS RD STE B
COLUMBIA, MD 21045

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 Madison Gillen's NPI number?

The NPI number for Madison Gillen is 1265208268. It was assigned to this individual provider in the NPPES registry on November 30, 2023.

Where is Madison Gillen located?

Madison Gillen practices at 9030 Old Annapolis Rd Ste B, Columbia, MD 21045. The listed phone number is (443) 979-8535.

What is Madison Gillen's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Is Madison Gillen enrolled in Medicare?

Yes. Madison Gillen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Madison Gillen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Gillen reassigns Medicare benefits to True Sports Physical Therapy, LLC (Baltimore, MD). 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 Madison Gillen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Madison Gillen was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.