Active NPI
Pro Recovery Network LLC
- Durable Medical Equipment & Medical Supplies
- Fort Mill, SC
National Provider Identifier
1689540031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PRO RECOVERY NETWORK LLC
- Practice address
- 2764 Pleasant Rd Ste a
Fort Mill, SC 29708-7214 - Phone
- (803) 517-3632
- NPI assigned
- Oct 14, 2025
- Last updated
- Oct 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua Jimenez
- Title
- Owner
- Phone
- (803) 517-3632
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
2764 Pleasant Rd Ste a
Fort Mill, SC 29708-7214
Mailing address
5830 E 2ND St 23679
Ste 7000
Casper, WY 82609
Phone (803) 517-3632
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Athletic Trainer
- Millburn, NJ
- NPI 1083185011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1689540031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5830 E 2ND ST 23679",
"address_2": "STE 7000",
"city": "CASPER",
"state": "WY",
"postal_code": "82609",
"telephone_number": "803-517-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2764 PLEASANT RD STE A",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087214",
"telephone_number": "803-517-3632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO RECOVERY NETWORK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-14",
"last_updated": "2025-10-14",
"certification_date": "2025-09-02",
"status": "A",
"authorized_official_last_name": "JIMENEZ",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-517-3632"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.