Individual provider Active NPI

Gwyn Davin Pagarigan

  • Physical Therapist
  • Milton, GA
National Provider Identifier
1447078670
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12752 Issued in SC
Practice address
13075 Highway 9 N Ste 120
Milton, GA 30004-5147
Phone
(678) 225-6861
NPI assigned
Sep 27, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12752 SC Primary
Physical Therapist 225100000X 05015771A IN

Addresses

Primary practice location

13075 Highway 9 N Ste 120
Milton, GA 30004-5147

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

2125 E Main St Ste 400
Spartanburg, SC 29307-1457
Phone (864) 285-3615

Other practice location 2

3510 Portage Rd
South Bend, IN 46628-6091
Phone (574) 203-9527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, SC, GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241017000893 IN Practitioner - Physical Therapist in Private Practice 5597297325 Reassigns benefits to 1 organization
I20250423003940 SC Practitioner - Physical Therapist in Private Practice 5597297325 Reassigns benefits to 1 organization
I20251119000628 GA Practitioner - Physical Therapist in Private Practice 5597297325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

13075 Hwy 9 N
Suite 120
Milton, GA 30004-5147
Phone (678) 225-6861

2125 E Main St
Unit B
Spartanburg, SC 29307-1421
Phone (864) 285-3615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05015771AINMDPhysical Therapist
12752SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients
MCM Rehabilitation LLC CurrentSince Sep 24, 2025 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Apr 21, 2025 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Sep 24, 2025 Accepting new patients

Locations

5665 Highway 9 N
Ste 102A
Alpharetta, GA 30004
Phone (770) 625-2616

13075 Highway 9 N
Ste 120
Milton, GA 30004
Phone (678) 225-6861

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4947 Paysphere Cr
Chicago, IL 60674

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

3510 Portage Rd
South Bend, IN 46628
Phone (574) 203-9527

838 Powdersville Rd
Ste T
Easley, SC 29642
Phone (864) 671-1650

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

2125 E Main St
Ste 400
Spartanburg, SC 29307
Phone (864) 285-3615

2125 E Main St
Unit B
Spartanburg, SC 29307
Phone (864) 285-3615

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1447078670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13075 HIGHWAY 9 N STE 120",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300045147",
            "telephone_number": "678-225-6861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2125 E Main St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293071457",
            "country_code": "US",
            "telephone_number": "864-285-3615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3510 Portage Rd",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466286091",
            "country_code": "US",
            "telephone_number": "574-203-9527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGARIGAN",
        "first_name": "GWYN DAVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-27",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12752",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015771A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.