Individual provider Active NPI

Marina Catherine Pegula

  • Physical Therapist
  • Beaufort, SC
National Provider Identifier
1609729573
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13286 Issued in SC
Practice address
1076 Ribaut Rd Ste 102
Beaufort, SC 29902-5490
Phone
(570) 983-4227
NPI assigned
Feb 19, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 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 13286 SC Primary

Addresses

Primary practice location

1076 Ribaut Rd Ste 102
Beaufort, SC 29902-5490

Mailing address

12208 Pinckney Marsh LN
Beaufort, SC 29906-7708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260428000298 SC Practitioner - Physical Therapist in Private Practice 7214404292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort Orthopaedic Sports and Spine Center LLCGroup PAC ID 1355301771, 48 clinicians

Practice addresses (Care Compare)

4810 Bluffton Pkwy
Suite 102
Bluffton, SC 29910-4602
Phone (843) 837-5236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13286SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Feb 16, 2026 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC PastSince Feb 16, 2026 Accepting new patients

Locations

1076 Ribaut Rd
Ste 102
Beaufort, SC 29902
Phone (843) 521-1970

Organizations & group practices 2

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": "1771459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1609729573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12208 PINCKNEY MARSH LN",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299067708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 RIBAUT RD STE 102",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025490",
            "telephone_number": "570-983-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGULA",
        "first_name": "MARINA",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "13286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.