Individual provider Active NPI

Melvin Elliott Gadson, PT

  • Physical Therapist
  • Sumter, SC
National Provider Identifier
1063647717
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4295 Issued in SC
Practice address
1195 Boardwalk
Sumter, SC 29150-1767
Phone
(803) 840-3734
Fax
(803) 469-8830
NPI assigned
May 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 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 4295 SC Primary

Addresses

Primary practice location

1195 Boardwalk
Sumter, SC 29150-1767

Mailing address

1195 Boardwalk
Sumter, SC 29150-1767
Phone (803) 840-3734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090916000102 SC Practitioner - Physical Therapist in Private Practice 6103971320 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4295SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Outpatient Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 29, 2023 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Jul 29, 2023 Accepting new patients
Generations Rehabilitation Services, LLP Physical Therapist Past Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

2065 McCrays Mill Rd
Sumter, SC 29154
Phone (502) 213-7575

Organizations & group practices 4

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1063647717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 BOARDWALK",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501767",
            "telephone_number": "803-840-3734",
            "fax_number": "803-883-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 BOARDWALK",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501767",
            "telephone_number": "803-840-3734",
            "fax_number": "803-469-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADSON",
        "first_name": "MELVIN",
        "middle_name": "ELLIOTT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.