Individual provider Active NPI

Madison Mackenzie Golden, DPT

  • Physical Therapist
  • Bluffton, SC
National Provider Identifier
1669994398
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8692 Issued in SC
Practice address
10 William Pope Dr Ste 3
Bluffton, SC 29909-7550
Phone
(843) 705-9440
Fax
(843) 705-9445
NPI assigned
Jul 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 8692 SC Primary

Addresses

Primary practice location

10 William Pope Dr Ste 3
Bluffton, SC 29909-7550

Mailing address

10 William Pope Dr Ste 3
Bluffton, SC 29909-7550
Phone (843) 705-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170824001199 SC Practitioner - Physical Therapist in Private Practice 7911279096 Reassigns benefits to 1 organization
I20181211001974 UT Practitioner - Physical Therapist in Private Practice 7911279096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical University of South Carolina College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

324 E 10TH Ave
Suite 100
Salt Lake City, UT 84103-2870
Phone (801) 408-5735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Jul 13, 2017 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 2, 2023 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Jul 13, 2017 Accepting new patients
Ihc Health Services Inc Physical Therapist CurrentSince Jul 2, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

10 William Pope Dr
Ste 3
Bluffton, SC 29909
Phone (843) 705-9440

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

324 Tenth Ave
Ste 100
Slc, UT 84103
Phone (801) 408-5735

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669994398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WILLIAM POPE DR STE 3",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097550",
            "telephone_number": "843-705-9440",
            "fax_number": "843-705-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WILLIAM POPE DR STE 3",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097550",
            "telephone_number": "843-705-9440",
            "fax_number": "843-705-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "MADISON",
        "middle_name": "MACKENZIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8692",
            "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 Jul 21, 2022; 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.