Individual provider Active NPI

Madelyn Marie Dullea, PT, DPT

  • Physical Therapist
  • Mount Pleasant, SC
National Provider Identifier
1003769027
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13233 Issued in SC
Practice address
85C Vincent Dr
Mount Pleasant, SC 29464-4030
Phone
(843) 822-2292
Fax
(888) 588-3421
NPI assigned
Feb 18, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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 13233 SC Primary

Addresses

Primary practice location

85C Vincent Dr
Mount Pleasant, SC 29464-4030

Mailing address

85C Vincent Dr
Mount Pleasant, SC 29464-4030
Phone (843) 822-2292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13233SCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1003769027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85C VINCENT DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644030",
            "telephone_number": "843-822-2292",
            "fax_number": "888-588-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85C VINCENT DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644030",
            "telephone_number": "843-822-2292",
            "fax_number": "888-588-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULLEA",
        "first_name": "MADELYN",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "13233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.