Organization Active NPI

BG Rehab Inc

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1083649958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1473 Issued in SC
Legal business name
BG REHAB INC
Practice address
1 Bishop Gadsden Way
Charleston, SC 29412-3506
Phone
(843) 406-6302
Fax
(843) 406-6540
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark L Pilon, PTNPI 1003835646
Title
President
Phone
(843) 406-6302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1473 SC Primary

Addresses

Primary practice location

1 Bishop Gadsden Way
Charleston, SC 29412-3506

Mailing address

1 Bishop Gadsden Way
Charleston, SC 29412-3506
Phone (843) 406-6302

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083649958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BISHOP GADSDEN WAY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123506",
            "telephone_number": "843-406-6302",
            "fax_number": "843-406-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BISHOP GADSDEN WAY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123506",
            "telephone_number": "843-406-6302",
            "fax_number": "843-406-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BG REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PILON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-406-6302",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "1473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.