Madeline Faith Versage

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02208700 Issued in NJ

Practice address

3800 Forest Dr
Columbia, SC 29204-4146

Phone

(803) 764-2363

NPI assigned

Sep 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cape Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Cape May Court House, NJ
  • NPI 1144584947

  NJ, Physical Therapist

  Medicare reassignment NPD
• First Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Batesburg-Leesville, SC
  • NPI 1376972109
  NPD (past)
• First Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Camden, SC
  • NPI 1427590793
  NPD (past)
• First Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Lexington, SC
  • NPI 1679513030
  NPD (past)
• First Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Greenville, SC
  • NPI 1891872941
  NPD (past)
• First Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Duncan, SC
  • NPI 1992210074
  NPD (past)
• First Physical Therapy, LLC

  • Rehabilitation Clinic/Center
  • Lexington, SC
  • NPI 1295328326
  NPD (past)
• First Physical Therapy, LLC

  • Rehabilitation Clinic/Center
  • Easley, SC
  • NPI 1639686504
  NPD (past)
• First Physical Therapy, LLC

  • Rehabilitation Clinic/Center
  • Simpsonville, SC
  • NPI 1689245607
  NPD (past)
• First Physical Therapy, LLC

  • Rehabilitation Clinic/Center
  • West Columbia, SC
  • NPI 1750946067
  NPD (past)
• First Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Powdersville, SC
  • NPI 1912439944
  NPD (past)
• Effingham Rehab Services, LLC

  • Rehabilitation Clinic/Center
  • Pooler, GA
  • NPI 1124541685
  NPD (past)

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1194502005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WOODSIDE DR",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102005",
            "telephone_number": "609-713-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044146",
            "telephone_number": "803-764-2363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3806 Bayshore Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "North Cape May",
            "state": "NJ",
            "postal_code": "082043208",
            "country_code": "US",
            "telephone_number": "609-536-4995",
            "fax_number": "609-478-2082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 S Main St",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313134312",
            "country_code": "US",
            "telephone_number": "912-368-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERSAGE",
        "first_name": "MADELINE",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP042668T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP027979T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02208700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yedatore S. Venkatesh, M.D.
• Tad Alan Venn, M.D.
• Natalie Verenes
• Nancye Harrell Vernon, LISW-CP
• Neal Jackson Vernon, L.M.S.W
• VI-Care Group Inc.
• Kevin Via, MD
• James Viapiano, M.D.
• Lucy Elvira Vicioso-Harris, LPC
• Quanterria Vick

• All providers in Columbia, SC
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.