Connor Pendergraft, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16713 Issued in TN

Practice address

295 Bristol East Rd
Bristol, VA 24202-5532

Phone

(276) 591-5484

NPI assigned

Aug 29, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jordan C Black 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jordan C Black

  • Physical Therapist
  • Morristown, TN
  • NPI 1528569316
  Medicare reassignment Care Compare group NPD
• WPS Providers Inc

  • General Practice Physician
  • Kingsport, TN
  • NPI 1003904095

  VA

  Medicare reassignment NPD
• Function Better Therapy Services

  • Physical Therapy Clinic/Center
  • Bristol, VA
  • NPI 1790881415

  Physical Therapist

  NPD
• Tristar Physical Therapy LLC

  • Physical Therapist
  • Morristown, TN
  • NPI 1770116485
  NPD

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1497634877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 BRISTOL EAST RD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242025532",
            "telephone_number": "276-591-5484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Hamilton Pl",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376047920",
            "country_code": "US",
            "telephone_number": "423-804-1020",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDERGRAFT",
        "first_name": "CONNOR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-29",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph E Ott, LPC
• Rachel Owens
• Catherine Campbell Parker, NP
• Kimberly J Patrick, LCSW
• James Steven Patterson, L.C.S.W.
• Justin Scott Pennington, PT
• Hannah B Phelps, LPC
• Jessica Phillips, PHARMD
• Lance Phillips
• Amanda L Pillion, M.ED., CCC-A

• All providers in Bristol, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.