Individual provider Active NPI

Malik McGill

  • Physical Therapist
  • Forest Acres, SC
National Provider Identifier
1285408724
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12130 Issued in SC
Practice address
4600 Forest Dr
Forest Acres, SC 29206
Phone
(803) 376-9789
NPI assigned
Nov 14, 2023
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12130 SC Primary

Addresses

Primary practice location

4600 Forest Dr
Forest Acres, SC 29206

Mailing address

527 Kimpton Dr
Columbia, SC 29223-4273
Phone (843) 430-0284

Other practice location 1

203 E Butler Rd Ste C
Mauldin, SC 29662-2105
Phone (864) 268-6686

Other practice location 2

7410 McCart Ave Ste 108
Fort Worth, TX 76133-7427
Phone (682) 350-4318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231212000662 SC Practitioner - Physical Therapist in Private Practice 4587013826 Reassigns benefits to 2 organizations
I20241105000968 TX Practitioner - Physical Therapist in Private Practice 4587013826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

4600 Forest Dr
Suite 2
Columbia, SC 29206-3118
Phone (803) 376-9789

7410 McCart Ave
Suite 108
Fort Worth, TX 76133-7427
Phone (682) 350-4318

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12130SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Nov 20, 2023 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Nov 20, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Nov 18, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

203 E Butler Rd
#C
Mauldin, SC 29662
Phone (864) 268-6686

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

5335 W Sublett Rd
Ste 151
Arlington, TX 76017
Phone (817) 839-9150

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

1540 Eastchase Pkwy
Ste 4A
Fort Worth, TX 76120

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

7410 McCart Ave
Ste 108
Fort Worth, TX 76133
Phone (682) 350-4318

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1285408724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 KIMPTON DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292234273",
            "telephone_number": "843-430-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 FOREST DR",
            "city": "FOREST ACRES",
            "state": "SC",
            "postal_code": "29206",
            "telephone_number": "803-376-9789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 E Butler Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Mauldin",
            "state": "SC",
            "postal_code": "296622105",
            "country_code": "US",
            "telephone_number": "864-268-6686",
            "fax_number": "864-326-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7410 McCart Ave Ste 108",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761337427",
            "country_code": "US",
            "telephone_number": "682-350-4318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "MALIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-14",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Acres, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.