Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madalyn R Douglas, DPT

Individual provider Physical Therapist · NPI 1063072650

Madalyn R Douglas, DPT is a Physical Therapist in Lake Geneva, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2019.

Licensed in
WI
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-4980
Fax: (262) 245-2248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14716-24 (WI)

Record details

NPI number1063072650
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

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