Individual provider Active NPI

Madalyn Patricia Cregg, DPT

  • Physical Therapist
  • Greenville, SC
National Provider Identifier
1003474693
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
200 Patewood Dr Ste C150
Greenville, SC 29615-6323
Phone
(864) 454-0904
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

200 Patewood Dr Ste C150
Greenville, SC 29615-6323

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190904002005 SC Practitioner - Physical Therapist in Private Practice 8123357969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RSFH - Ati Physical Therapy LLCGroup PAC ID 3375849946, 98 clinicians

Practice addresses (Care Compare)

606 Nexton Square Dr
Suite 304
Summerville, SC 29486-7914
Phone (843) 376-5963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9811SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Aug 1, 2019 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince May 26, 2021 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince May 26, 2021 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations (25 of 32)

790 Remington Blvd
Bolingbrook, IL 60440

33299 Collection Ctr Dr
Chicago, IL 60693

33205 Collection Ctr Dr
Chicago, IL 60693

1941 Savage Rd
Ste 300A
Charleston, SC 29407
Phone (843) 402-1495

325 Folly Rd
Ste 107
Charleston, SC 29412
Phone (843) 762-0147

1730 Savannah Hwy
Charleston, SC 29407
Phone (843) 763-4115

5400 International Blvd
Bldg 8821
Charleston, SC 29418
Phone (843) 763-4115

900 Island Park Dr
Ste 108
Daniel Island, SC 29492
Phone (843) 284-5285

200 Patewood Dr
Ste C150
Greenville, SC 29615
Phone (864) 454-0904

111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

200 Patewood Dr
Ste C250
Greenville, SC 29615
Phone (864) 454-0952

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

713 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 479-6084

4237 River Hills Dr
Ste 110
Little River, SC 29566
Phone (843) 467-8032

4237 River Hills Dr
Ste 120
Little River, SC 29566
Phone (843) 249-5616

116 Foxbank Plantation Blvd
Ste E
Moncks Corner, SC 29461
Phone (843) 761-4622

405 Faison Rd
Ste 105
Mount Pleasant, SC 29466
Phone (843) 352-2935

1909 N Highway 17
Ste Q
Mt Pleasant, SC 29464
Phone (843) 416-9026

180 Wingo Way
Ste 303
Mt Pleasant, SC 29464
Phone (843) 972-0940

586 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 884-7880

8161 Rourk St
Myrtle Beach, SC 29572
Phone (843) 449-3685

5046 Highway 17 Byp S
Ste 201
Myrtle Beach, SC 29588
Phone (843) 668-4329

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

5401 Netherby Ln
Ste 300
North Charleston, SC 29420
Phone (843) 225-5211

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1003474693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PATEWOOD DR STE C150",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156323",
            "telephone_number": "864-454-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREGG",
        "first_name": "MADALYN",
        "middle_name": "PATRICIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.