Savanna Ashley Gladue, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10332.PT Issued in SC

Practice address

20 Ladyslipper LN
Hilton Head, SC 29926-1372

Phone

(800) 458-8585

NPI assigned

Aug 11, 2020

Last updated

Aug 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• New Concepts for Living

  • Rehabilitation Clinic/Center
  • Paramus, NJ
  • NPI 1801742481
  Medicare reassignment

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1447861794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 OLD RIVER CT",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299093955",
            "telephone_number": "706-551-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LADYSLIPPER LN",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261372",
            "telephone_number": "800-458-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLADUE",
        "first_name": "SAVANNA",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10332.PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collin George, PT
• William Bradley George, PT
• Florence W Gibbes, SPEECH THERAPIST
• Thomas Grant Gibble, D.C.
• Michael Joseph Gilbreath, MD
• Nicole Melissa Goldin, D.C
• Bethany Gonyea, MS
• Tammy Leshae Gordon, COTA
• Gala Elizabeth Gorman, LAC
• Ronald K Goss, RPH

• Physical Therapist in Hilton Head, SC
• Providers in Hilton Head, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.