Provider Demographics
NPI:1184518979
Name:FURMAN, MADDISON LAYNE (DR)
Entity type:Individual
Prefix:
First Name:MADDISON
Middle Name:LAYNE
Last Name:FURMAN
Suffix:
Gender:M
Credentials:DR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3004 IMPALA PL STE A
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23228-4206
Mailing Address - Country:US
Mailing Address - Phone:804-757-3296
Mailing Address - Fax:855-700-6837
Practice Address - Street 1:3004 IMPALA PL STE A
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23228-4206
Practice Address - Country:US
Practice Address - Phone:757-329-6682
Practice Address - Fax:855-700-6837
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305217203225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist