Madeline Gray Mazoue, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12803 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

Jun 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT, SC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy of CTGroup PAC ID 1153343470, 5 clinicians

Horizon Rehabilitation and Sports Medicine Limited PartnershipGroup PAC ID 6800286634, 15 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizon Rehabilitation and Sports Medicine Limited Partnership

  • Physical Therapist
  • Hilton Head, SC
  • NPI 1518621820
  Medicare reassignment Care Compare group NPD
• Performance Physical Therapy of CT

  dba Performance Physical Therapy

  • Physical Therapist
  • Cos Cob, CT
  • NPI 1770609299
  Medicare reassignment Care Compare group
• Horizon Rehabilitation and Sports Medicine Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Bluffton, SC
  • NPI 1750134888

  Physical Therapist

  NPD
• Performance Physical Therapy of CT

  dba performance Physical Therapy

  • Physical Therapist
  • Stamford, CT
  • NPI 1285751578
  NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1528798337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068070402"
        },
        {
            "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": [
        {
            "address_1": "35 River Rd",
            "address_purpose": "LOCATION",
            "city": "Cos Cob",
            "state": "CT",
            "postal_code": "068072759",
            "country_code": "US",
            "telephone_number": "203-422-0679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 S Potomac St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124540",
            "country_code": "US",
            "telephone_number": "303-695-6060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-699-9095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZOUE",
        "first_name": "MADELINE",
        "middle_name": "GRAY",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306389",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL20301",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13569",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "madeline.mazoue@performanceoptimalhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "35 River Rd",
            "city": "Cos Cob",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068072759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dale Alan Matthews, M.D.
• Judith Mattoon
• Meghan Elizabeth May, PT, DPT
• James Delroy Mayers Jr., MD
• Lisa M Mazeika, PA-C
• Jocelyn Claire McCauley, OTR/L
• Emma Diane McClendon, PTA
• Catherine Longshore McCormack, APRN, RN
• Brian Michael McGinnis, D.C.
• Me Pivot Holdings LLC (Miracle Ear)

• Physical Therapist in Hilton Head Island, SC
• Providers in Hilton Head Island, 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 Apr 2, 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.