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

Madison Dance, PTA

Individual provider Physical Therapy Assistant · NPI 1770462137

Madison Dance, PTA is a Physical Therapy Assistant in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1907 W Sycamore St
Kokomo, IN 46901-5148
Phone: (765) 452-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06006928A (IN)

Record details

NPI number1770462137
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address1907 W Sycamore St, Kokomo, IN 46901-5148

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