David W Pegram, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4544 Issued in SC

Practice address

1075 Boiling Springs Rd
Spartanburg, SC 29303-2248

Phone

(864) 580-2001

Fax

(864) 580-2003

NPI assigned

Nov 27, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Rehabilitation Group LLCGroup PAC ID 4688689581, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.pegram.1@3723.direct.athenahealth.com
• Direct secure messaging: david.pegram.1@26879.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Rehabilitation Group, LLC

  • Physical Therapist
  • Columbia, SC
  • NPI 1033170550
  Medicare reassignment Care Compare group NPD Authorized official
• Camden Bone & Joint LLC

  • Orthopaedic Surgery Physician
  • Camden, SC
  • NPI 1497783880
  Medicare reassignment NPD
• Carolina Orthopaedic and Neurosurgical Associates

  • Orthopaedic Surgery Physician
  • Spartanburg, SC
  • NPI 1568454056
  Medicare reassignment NPD
• Physical Rehabilitation Group

  • Physical Therapist
  • Conway, SC
  • NPI 1275908246
  NPD (past) Authorized official
• Physical Rehabilitation Group

  • Physical Therapist
  • Columbia, SC
  • NPI 1629407606
  NPD (past) Authorized official
• Physical Rehabilitation Group, LLC

  • Physical Therapist
  • Gaffney, SC
  • NPI 1376240796
  NPD (past) Authorized official
• Physical Rehabilitation Group, LLC

  • Physical Therapist
  • Clinton, SC
  • NPI 1821293721
  NPD (past) Authorized official
• Carolina Orthopaedic and Neurosurgical Associates

  • Orthopaedic Surgery Physician
  • Columbus, NC
  • NPI 1083309074
  NPD
• Camden Open MRI

  • Radiology Clinic/Center
  • Camden, SC
  • NPI 1861407595
  NPD (past)
• Doctors Care, PA

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1366499048
  NPD (past)
• Progressive Physical Therapy, P.a.

  • Physical Therapist
  • Columbia, SC
  • NPI 1093762718
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1013083690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3408",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290634015",
            "telephone_number": "803-732-5887",
            "fax_number": "803-732-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BOILING SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032248",
            "telephone_number": "864-580-2001",
            "fax_number": "864-580-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGRAM",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00372305",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peek Professional Hearing Center, LLC (Hearing Healthcare Center of Spartanburg)
• Sharon Kay Peek, M.D.
• Steven Gregory Peek
• Marian B Peeler, MMFT, LLMT
• Shana Kristine Peeler, FNP-BC
• David Pelino, MD
• Bridgette Flaherty Pelletier, CRNA
• Lesley Pena, LPC
• Maria Victoria S Penaflor, RPH
• Anna Pendrey

• Physical Therapist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.