PHYSICAL REHABILITATION GROUP, LLC (NPI# 1639560956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639560956 |
| Entity Type | Organization |
| Organization Name | PHYSICAL REHABILITATION GROUP, LLC |
| Practice Address |
1012 Physicians Dr Ste 102 Charleston SC 29414-5719 |
| Mailing Address |
Po Box 3408 Irmo SC 29063-4015 |
| Practice Telephone | 8438049198 |
| Practice Fax Number | 8438049145 |
| Mailing Telephone | 8037325887 |
| Mailing Fax Number | 8037325996 |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | MR. DAVID A 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487921912 | Physical Rehabilitation Group, LLC | Physical Therapist | 130 Centrum Dr Ste 2a, Irmo, SC 29063-8306 | 2011-11-29 |
| 1033170550 | Physical Rehabilitation Group, LLC | Physical Therapist | 3634a Sunset Blvd, West Columbia, SC 29169-3052 | 2006-04-01 |
| 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 |
1012 PHYSICIANS DR STE 102 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756907 | Denovo Pain Management, LLC | Anesthesiology | 1012 Physicians Dr Ste 102, Charleston, SC 29414-5719 | 2020-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| 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 |
|---|---|---|---|---|
| 1295352318 | Savanna Brooke Wells | Physical Therapist | 1622 Nemours Dr, Charleston, SC 29407-7626 | 2020-07-06 |
| 1922622067 | Enliven Movement, LLC | Physical Therapist | 1 Cool Blow St Apt 337, Charleston, SC 29403-4275 | 2020-06-04 |
| 1811517568 | Shelley Haselden | Physical Therapist | 2121 Chancellory Ln, Charleston, SC 29414-6249 | 2020-04-23 |
| 1699315432 | Maysa Hannawi | Physical Therapist | 700 King St Unit D, Charleston, SC 29403-4863 | 2020-01-09 |
| 1649819301 | Kyle Wayne Hopfensperger | Physical Therapist | 4266 William E Murray Blvd, Charleston, SC 29414-5155 | 2019-12-30 |
| 1932754926 | Michael Steven Hall | Physical Therapist | 13 Kanawha Blvd, Charleston, WV 25302-2350 | 2019-08-06 |
| 1619449824 | Alex Morra | Physical Therapist | 55 Columbus St, Charleston, SC 29403-6681 | 2018-12-28 |
| 1043786981 | Amanda Feller | Physical Therapist | 3017 Lazarette Ln, Charleston, SC 29414-8065 | 2018-10-18 |
| 1144713892 | Taylor A Young | Physical Therapist | 142 Sportsman Island Dr Ste F, Charleston, SC 29492-8524 | 2018-06-07 |
| 1073021291 | Trevor Allan Shamblin | Physical Therapist | 4301 Mccorkle Ave Se, Charleston, WV 25304-2503 | 2018-01-22 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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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.