Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Madison Diane Tavares, PT

Individual provider Physical Therapist · NPI 1518689959

Dr. Madison Diane Tavares, PT is a Physical Therapist in Private Practice in North Charleston, South Carolina. Qualified in 2022, 4 years ago. Practices with Fox Rehabilitation Services Me LLC, a 45-clinician group and accepts Medicare assignment. Licensed in Maine and South Carolina.

Years since qualifying
4
Licensed in
ME, SC
In the registry since
2022
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4105 Faber Place Dr Ste 420
North Charleston, SC 29405-8594
Phone: (843) 894-7374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT6321 (ME)
Physical Therapist Taxonomy 225100000X · Licence 13189 (SC)

Record details

NPI number1518689959
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 13, 2022
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Fox Rehabilitation Services Me Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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