Organization Active NPI

Atlantic Physical Therapy & Rehabilitation, Inc.

  • Occupational Therapy Assistant
  • Myrtle Beach, SC
National Provider Identifier
1477508455
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
ATLANTIC PHYSICAL THERAPY & REHABILITATION, INC.
Practice address
4012 Postal Way
Suite C
Myrtle Beach, SC 29579-3185
Phone
(843) 903-4940
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dargan Ervin, P.T.
Title
Director of Administration & Client
Phone
(843) 293-7713

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

4012 Postal Way
Suite C
Myrtle Beach, SC 29579-3185

Mailing address

4012 Postal Way
Suite C
Myrtle Beach, SC 29579-3185
Phone (843) 903-4940

Other identifiers 1

IdentifierTypeStateIssuer
GP0292MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Atlantic Physical Therapy Rehabilitation Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4012 Postal Way
Ste C
Myrtle Beach, SC 29579
Phone (843) 903-4940

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477508455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 POSTAL WAY",
            "address_2": "SUITE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793185",
            "telephone_number": "843-903-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 POSTAL WAY",
            "address_2": "SUITE C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793185",
            "telephone_number": "843-903-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PHYSICAL THERAPY & REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "DARGAN",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION & CLIENT",
        "authorized_official_telephone_number": "843-293-7713",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0292",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.