Dr. Madeline Faith Versage
Physical Therapist in Columbia, SC. Individual provider (NPI-1).
NPI number1194502005
StatusActive
Last updated in NPPESAug 12, 2025
Details
- NPI
- 1194502005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Madeline Faith Versage
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2023
- Certification date
- Aug 12, 2025
- Last updated
- Aug 12, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02208700 | NJ | Yes |
| 225100000X | Physical Therapist | CP042668T | SC | |
| 225100000X | Physical Therapist | CP027979T | GA |
Practice location
3800 Forest DrColumbia, SC 29204-4146
Phone 803-764-2363
Mailing address
14 Woodside DrCape May Court House, NJ 08210-2005
Phone 609-713-8318
Other practice locations
3806 Bayshore Rd Ste 103
North Cape May, NJ 08204-3208
North Cape May, NJ 08204-3208
Phone 609-536-4995 · Fax 609-478-2082
475 S Main St
Hinesville, GA 31313-4312
Hinesville, GA 31313-4312
Phone 912-368-4131
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 338 Physical Therapist providers in Columbia · All 14,701 providers in Columbia
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