Individual provider Active NPI

Natalie Rene Phongam, DPT, PT

  • Physical Therapist
  • Hilton Head Island, SC
National Provider Identifier
1225912348
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13025 Issued in SC
Practice address
8 Hospital Center Blvd Ste 250
Hilton Head Island, SC 29926-8702
Phone
(843) 671-7342
Fax
(843) 671-7343
NPI assigned
Aug 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5982 MS
Physical Therapist 225100000X CP046960T SC
Physical Therapist 225100000X 13025 SC Primary

Addresses

Primary practice location

8 Hospital Center Blvd Ste 250
Hilton Head Island, SC 29926-8702

Mailing address

8 Hospital Center Blvd Ste 250
Hilton Head Island, SC 29926-8702
Phone (843) 671-7342

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023002909 SC Practitioner - Physical Therapist in Private Practice 6204324940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1300 W Sam Houston Pkwy S
Suite 300
Houston, TX 77042-2453

8 Hospital Ctr Blvd
Suite 250
Hilton Head Island, SC 29926

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5982MSMDPhysical Therapist
13025SCMDPhysical Therapist
CP046960TSCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Horizon Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients

Locations

8 Hospital Ctr
Ste 250
Hilton Head Island, SC 29926
Phone (843) 671-7342

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1225912348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HOSPITAL CENTER BLVD STE 250",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299268702",
            "telephone_number": "843-671-7342",
            "fax_number": "843-671-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HOSPITAL CENTER BLVD STE 250",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299268702",
            "telephone_number": "843-671-7342",
            "fax_number": "843-671-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHONGAM",
        "first_name": "NATALIE",
        "middle_name": "RENE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "5982",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP046960T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "13025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.