Active NPI
Proactive Therapy of South Carolina Inc
- Rehabilitation Clinic/Center
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- PROACTIVE THERAPY OF SOUTH CAROLINA INC
- Practice address
- 2114 Highway 41 Ste 104
Mount Pleasant, SC 29466-6204 - Phone
- (717) 972-1100
- NPI assigned
- Mar 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John F Duggan
- Title
- Vice President
- Phone
- (717) 972-1100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Primary |
Addresses
Primary practice location
2114 Highway 41 Ste 104
Mount Pleasant, SC 29466-6204
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
Other names 1
- Select Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040730000921 | SC | Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 0547230955 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: North Charleston, SC; Summerville, SC; Rock Hill, SC; Mt Pleasant, SC; Mount Pleasant, SC; Charleston, SC; Goose Creek, SC; Monck'S Corner, SC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Physical Therapy Clinic/Center
- Goose Creek, SC
- NPI 1336149848
O20040730000921
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Maple Grove, MN
- NPI 1366084402
Member Of
Locations
1611 Savannah Hwy
Ste 200
Charleston, SC 29407
Phone (843) 556-1745
7 S Alliance Dr
Ste 102A
Goose Creek, SC 29445
Phone (843) 560-3870
2114 Highway 41
Ste 104
Mt Pleasant, SC 29466
Phone (843) 800-8655
8465 Dorchester Rd
#B
North Charleston, SC 29420
Phone (843) 767-3765
154 Amendment Ave
Unit A
Rock Hill, SC 29732
Phone (803) 366-9990
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Goose Creek, SC
- NPI 1104258953
-
- Physical Therapist
- Goose Creek, SC
- NPI 1871763250
-
- Physical Therapy Assistant
- Goose Creek, SC
- NPI 1538310875
-
- Occupational Therapist
- Goose Creek, SC
- NPI 1730425166
-
- Physical Therapist
- Goose Creek, SC
- NPI 1831164169
-
- Physical Therapist
- Goose Creek, SC
- NPI 1609840818
-
- Physical Therapist
- Goose Creek, SC
- NPI 1114711017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761177600000",
"number": "1164057048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "717-972-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2114 HIGHWAY 41 STE 104",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294666204",
"telephone_number": "717-972-1100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROACTIVE THERAPY OF SOUTH CAROLINA INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-11",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A",
"authorized_official_last_name": "DUGGAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "717-972-1100"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Select Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.