MADELINE MCKEEGAN (NPI# 1881944510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881944510 |
| Entity Type | Individual |
| Full Name | MADELINE MCKEEGAN |
| Practice Address |
4161 Tamiami Trl Suite 704 Port Charlotte FL 33952-9204 |
| Practice Telephone | 9416251110 |
| Practice Fax Number | 9416250552 |
| Mailing Telephone | 9416251110 |
| Mailing Fax Number | 9416250552 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | PTA 23377 | FL | Other Service Providers |
| Street Address |
4161 TAMIAMI TRL SUITE 704 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861480790 | William Lane Edwards Jr. | Nurse Practitioner | 4161 Tamiami Trl, Suite 201, Port Charlotte, FL 33952-9204 | 2005-10-13 |
| 1194332478 | Ashley M Pospisil | Dietitian, Registered | 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 | 2020-09-30 |
| 1376098418 | Brittany Diltz | Clinic/Center | 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 | 2016-08-18 |
| 1386041887 | Golden Touch Physical Therapy, Inc | Clinic/Center | 4161 Tamiami Trl, Port Charlotte, FL 33952-9204 | 2014-11-26 |
| 1396164257 | Tracy M Mullins | Physical Therapy Assistant | 4161 Tamiami Trl, Suite 704, Port Charlotte, FL 33952-9204 | 2014-04-08 |
| 1689000325 | John Thomas Connelly | Occupational Therapist | 4161 Tamiami Trl, Ste 103, Port Charlotte, FL 33952-9204 | 2013-09-25 |
| 1558701060 | Andrea B. Dombrowski | Social Worker | 4161 Tamiami Trl, Suite 401, Port Charlotte, FL 33952-9204 | 2013-06-28 |
| 1770929978 | Jovanni H Villadarez | Physical Therapist | 4161 Tamiami Trl, Suite 104, Port Charlotte, FL 33952-9204 | 2013-05-14 |
| 1851736995 | Mark Niles Perkins | Physical Therapy Assistant | 4161 Tamiami Trl, Suite 104, Port Charlotte, FL 33952-9204 | 2013-05-02 |
| 1609127380 | Megan C Francis | Physical Therapist | 4161 Tamiami Trl, Ste 103, Port Charlotte, FL 33952-9204 | 2012-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942549241 | Joletta A Smith | Contractor | 4161 Tamiami Trl Ste 704, Port Charlotte, FL 33952-9283 | 2013-02-06 |
| 1730541509 | Kelley Scott | Contractor | 4161 Tamiami Trail, Suite 704, Port Charlotte, FL 33953-9283 | 2016-03-22 |
| 1992172092 | Amber Romanok | Contractor | 4161 Tamiami Trl Ste 704, Port Charlotte, FL 33952-9283 | 2015-08-25 |
| 1831580257 | Sandra Aughenbaugh | Contractor | 4161 Tamiami Trl Ste 704, Port Charlotte, FL 33952-9283 | 2015-02-06 |
| 1801141635 | Jennifer Michelle Kaspar | Contractor | 4161 Tamiami Trl, Unit # 704, Port Charlotte, FL 33952-9204 | 2012-07-18 |
| 1417110560 | Bobbi Pensis Boehmer | Contractor | 4161 Tamiami Trl, Suite 704, Port Charlotte, FL 33952-9204 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183683 | Ana Cecilia Fonseca | Contractor | 3456 Sw 112th Ave, Miami, FL 33165-3456 | 2020-10-29 |
| 1477151884 | Joel Laurenceau | Contractor | 2561 Sw Grotto Cir, Port Saint Lucie, FL 34953-2927 | 2020-10-16 |
| 1649878208 | Jill K Bailey | Contractor | 1809 E Broadway St Ste 147, Oviedo, FL 32765-8597 | 2020-10-15 |
| 1700484771 | James Butler | Contractor | 7771 W Oakland Park Blvd Ste 105c, Sunrise, FL 33351-6749 | 2020-10-13 |
| 1407453277 | Princess Laqa Callahan | Contractor | 2620 Nw 19th St, Ft Lauderdale, FL 33311-3324 | 2020-10-05 |
| 1154928158 | Amy Benzenhafer | Contractor | 586 Woodlow Rd, Niceville, FL 32578-2108 | 2020-10-03 |
| 1083220297 | Melissa Velez | Contractor | 104 Sw Peacock Blvd Apt 3-205, Port St Lucie, FL 34986-3467 | 2020-09-22 |
| 1023623626 | Floridamed Health Network | Contractor | 1806 N Flamingo Rd Ste 220, Pembroke Pines, FL 33028-1030 | 2020-09-10 |
| 1700491677 | Patrice Alicia Leys | Contractor | 2022 Nw 43rd Ter Apt 6, Lauderhill, FL 33313-4340 | 2020-09-09 |
| 1407468366 | Platinum Choice Healthcare | Contractor | 1489 W Palmetto Park Rd Ste 512, Boca Raton, FL 33486-3326 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.