PHYSICAL REHABILITATION GROUP, LLC (NPI# 1033170550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033170550 |
| Entity Type | Organization |
| Organization Name | PHYSICAL REHABILITATION GROUP, LLC |
| Other Organization Name | PHYSICIANS REHABILITATION GROUP |
| Practice Address |
3634a Sunset Blvd West Columbia SC 29169-3052 |
| Mailing Address |
Po Box 3408 Irmo SC 29063-4015 |
| Practice Telephone | 8037325887 |
| Practice Fax Number | 8037325997 |
| Mailing Telephone | 8037325887 |
| Mailing Fax Number | 8037325997 |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2018-09-18 |
| Authorized Official Name | MR. DAVID W PEGRAM (OWNER) |
| Authorized Official Telephone | 8037325887 |
| Authorized Official Credential | PT |
| Is Organization Subpart | Y |
| Parent Organization Name | PHYSICAL REHABILITATION GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Physicians Rehabilitation Group | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639560956 | Physical Rehabilitation Group, LLC | Physical Therapist | 1012 Physicians Dr Ste 102, Charleston, SC 29414-5719 | 2015-02-09 |
| 1487921912 | Physical Rehabilitation Group, LLC | Physical Therapist | 130 Centrum Dr Ste 2a, Irmo, SC 29063-8306 | 2011-11-29 |
| 1700374162 | Physical Rehabilitation Group, LLC | Physical Therapist | 2611 Forest Dr, Columbia, SC 29204-2379 | 2018-05-01 |
| 1821293721 | Physical Rehabilitation Group, LLC | Physical Therapist | 105 Physicians Park Dr, Clinton, SC 29325-7551 | 2007-06-19 |
| Street Address |
3634A SUNSET BLVD |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982065371 | Briana Bacon | Physical Therapist | 3634a Sunset Blvd, West Columbia, SC 29169 | 2016-03-11 |
| 1023421161 | Physical Rehabilitation Group | Physical Therapist | 3634a Sunset Blvd, West Columbia, SC 29169-3052 | 2014-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699155317 | Superkidz Pediatric Therapy, LLC | Physical Therapist | 1700 Quail Lake Dr, West Columbia, SC 29169-3746 | 2015-06-08 |
| 1720396658 | Alison H. Valdepenas | Physical Therapist | 1177 Sunset Blvd., West Columbia, SC 29169 | 2010-09-14 |
| 1952548695 | Lizette F Mcgillan | Physical Therapist | 2318 Sunset Blvd, West Columbia, SC 29169-4716 | 2009-01-16 |
| 1801069653 | Timothy Harold Stone Jr. | Physical Therapist | 1137 Baywater Dr, West Columbia, SC 29170-3118 | 2008-04-11 |
| 1780857391 | Paul Lee Padgett | Physical Therapist | 125 State St Bldg 3, West Columbia, SC 29169-7557 | 2008-04-04 |
| 1497823140 | Catherine R Foxe | Physical Therapist | 3937 Sunset Blvd, Suite A, West Columbia, SC 29169-2423 | 2006-12-01 |
| 1275643504 | Celise M Zbytovsky | Physical Therapist | 110 Medical Cir Ste B, West Columbia, SC 29169-3642 | 2006-08-30 |
| 1871538231 | Wytisha Shabre' Carter | Physical Therapist | 132b Sunset Court, West Columbia, SC 29169-2429 | 2006-06-19 |
| 1225081730 | Agape Therapy, Inc. | Physical Therapist | 2705 Leaphart Rd, West Columbia, SC 29169-3335 | 2006-05-18 |
| 1821048885 | Jason R Strickland | Physical Therapist | 3300 Sunset Blvd, West Columbia, SC 29169-3457 | 2006-05-11 |
| Find all providers in WEST COLUMBIA | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.