Pelvic Prime, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

PELVIC PRIME, LLC

Practice address

410 University Pkwy Ste 2200
Aiken, SC 29801-6833

Phone

(803) 716-9723

Fax

(803) 845-4793

NPI assigned

Jun 11, 2021

Last updated

Mar 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shandrea Jean Hubbs, PT, DPTNPI 1487083549

Title

Owner

Phone

(803) 649-9797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shandrea Jean Hubbs, DPT

  • Orthopedic Physical Therapist
  • Aiken, SC
  • NPI 1487083549
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1346818911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 EASTWOOD CT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298018106",
            "telephone_number": "803-716-9723",
            "fax_number": "803-845-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 UNIVERSITY PKWY STE 2200",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016833",
            "telephone_number": "803-716-9723",
            "fax_number": "803-845-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC PRIME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "HUBBS",
        "authorized_official_first_name": "SHANDREA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-649-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Therapy of Aiken, LLC
• Calvreka Monique Peeples
• Susan B Pelc, RN
• Weems R Pennington III, MD
• Taylor Greene Pennisi, PHARMD
• Pepper Hill SNF Operations LLC (Aiken Rehabilitation and Care Center)
• Shannon W Pepper, RPH
• Hamna Talha Peracha, MD

• Orthopedic Physical Therapist in Aiken, SC
• Providers in Aiken, SC by specialty
• Orthopedic Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.

Verify at the official NPI Registry.