Individual provider Active NPI

Madison Pawley

  • Physical Therapist
  • Bluffton, SC
National Provider Identifier
1619781903
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12698 Issued in SC
Practice address
38 Sheridan Park Cir Ste E
Bluffton, SC 29910-7023
Phone
(843) 757-5566
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 12698 SC Primary

Addresses

Primary practice location

38 Sheridan Park Cir Ste E
Bluffton, SC 29910-7023

Mailing address

4 Okatie Center Blvd S Ste 101
Bluffton, SC 29909-7530
Phone (843) 705-9480

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy and Sports Performance Bluffton 2 clinicians

Practice addresses (Care Compare)

38 Sheridan Park Cir
Suite E
Bluffton, SC 29910-7023
Phone (843) 705-9480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250415000998 SC Practitioner - Physical Therapist in Private Practice 7214452044 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12698SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Physical Therapy & Sports Performance Bluffton Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients
Elite Physical Therapy & Sports Performance Physical Therapist CurrentSince Feb 10, 2025 Accepting new patients

Locations

38 Sheridan Park Cir
Ste E
Bluffton, SC 29910
Phone (843) 705-9480

4 Okatie Center Blvd S
Ste 101
Okatie, SC 29909
Phone (501) 348-3776

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1619781903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OKATIE CENTER BLVD S STE 101",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097530",
            "telephone_number": "843-705-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 SHERIDAN PARK CIR STE E",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299107023",
            "telephone_number": "843-757-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLEY",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.