Individual provider Active NPI

Margery Hand Madison, P.T.

  • Physical Therapist
  • Aiken, SC
National Provider Identifier
1861508400
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3732 Issued in SC
Practice address
1029 York Street
Aiken, SC 29801-4025
Phone
(803) 502-1484
Fax
(803) 502-1485
NPI assigned
Aug 23, 2006
Last updated
Dec 19, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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 3732 SC Primary

Addresses

Primary practice location

1029 York Street
Aiken, SC 29801-4025

Mailing address

29 Cherry Tree LN
Bamberg, SC 29003-1177
Phone (803) 246-7581

Other identifiers 1

IdentifierTypeStateIssuer
TH1094MedicaidSC

Other names 1

  • Mrs. Margery Hand Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3732SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Phyiscal Therapy, PA Physical Therapist Past Accepting new patients
Lancaster Physical Therapy LLC. Physical Therapist Past Accepting new patients

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1861508400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CHERRY TREE LN",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031177",
            "telephone_number": "803-246-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 YORK STREET",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298014025",
            "telephone_number": "803-502-1484",
            "fax_number": "803-502-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "MARGERY",
        "middle_name": "HAND",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1094",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGERY",
            "last_name": "SMITH",
            "middle_name": "HAND",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.