PHYSICAL REHABILITATION GROUP, LLC (NPI# 1700374162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700374162 |
| Entity Type | Organization |
| Organization Name | PHYSICAL REHABILITATION GROUP, LLC |
| Practice Address |
2611 Forest Dr Columbia SC 29204-2379 |
| 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 | 2018-05-01 |
| Last Update Date | 2018-05-01 |
| Authorized Official Name | DAVID 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 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
| 1033170550 | Physical Rehabilitation Group, LLC | Physical Therapist | 3634a Sunset Blvd, West Columbia, SC 29169-3052 | 2006-04-01 |
| 1821293721 | Physical Rehabilitation Group, LLC | Physical Therapist | 105 Physicians Park Dr, Clinton, SC 29325-7551 | 2007-06-19 |
| Street Address |
2611 FOREST DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982618161 | Trinity Counseling Services LLC | Counselor | 2611 Forest Dr, Suite 206, Columbia, SC 29204-2379 | 2006-07-27 |
| 1255995411 | Colleen Bradley | Physician Assistant | 2611 Forest Dr, Columbia, SC 29204-2379 | 2019-04-23 |
| 1033425293 | Journey Forward, LLC | Counselor | 2611 Forest Dr, Suite 129, Columbia, SC 29204-2379 | 2010-08-26 |
| 1912132770 | Encore Supply and Services,inc | Durable Medical Equipment & Medical Supplies | 2611 Forest Dr, Suite 130, Columbia, SC 29204-2379 | 2009-05-22 |
| 1386882017 | Abundant Home Care Solutions LLC | Preferred Provider Organization | 2611 Forest Dr, Suite 206, Columbia, SC 29204-2379 | 2009-02-03 |
| 1245477488 | Calvin Gibbs | Orthotic Fitter | 2611 Forest Dr, Suite 103 Office 116, Columbia, SC 29204-2379 | 2009-01-09 |
| 1336302538 | Journey Forward | Counselor | 2611 Forest Dr, Suite 129, Columbia, SC 29204-2379 | 2008-07-08 |
| 1730201815 | Wanda Nunn | Counselor | 2611 Forest Dr, Suite 129, Columbia, SC 29204 | 2007-04-06 |
| 1538206735 | Jerome Prezzy | Psychologist | 2611 Forest Dr, Suite 114a, Columbia, SC 29204-2379 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| 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 |
|---|---|---|---|---|
| 1902406200 | Alyssa Leonard | Physical Therapist | 7490 S Lavender Dr, Columbia, MO 65203-4538 | 2020-10-27 |
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1366069395 | Taalor Stevenson | Physical Therapist | 10 W Nifong Blvd, Columbia, MO 65203-6011 | 2020-06-25 |
| 1457977498 | Windy Matthews-ellinger | Physical Therapist | 1719 Heyward St, Columbia, SC 29205-3211 | 2020-06-24 |
| 1962026518 | Tiffany Nichole Harbison | Physical Therapist | 10 W Nifong Blvd Ste 121, Columbia, MO 65203-6006 | 2020-05-29 |
| 1558992404 | Progressive Physical Therapy, LLC | Physical Therapist | 6410 Dobbin Rd Ste G, Columbia, MD 21045-4774 | 2020-01-30 |
| 1467082552 | Linnen Pediatric Physical Therapy, LLC | Physical Therapist | 165 Rice Meadow Cir, Columbia, SC 29229-9378 | 2020-01-17 |
| 1710545777 | Amanda Lorraine Gubbels | Physical Therapist | 6041b Garners Ferry Rd, Columbia, SC 29209-1304 | 2019-06-04 |
| 1790243624 | Kara Juliann Lane | Physical Therapist | 7130 Minstrel Way Ste L110, Columbia, MD 21045-5201 | 2019-03-11 |
| Find all providers in COLUMBIA | ||||
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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.