Warren Rehab Group, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WARREN REHAB GROUP, LLC

Practice address

7430 College St
Irmo, SC 29063-2903

Phone

(803) 445-2941

Fax

(833) 450-0785

NPI assigned

Dec 18, 2016

Organization subpart

No

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

Authorized official

Name

Matthew Judd Warren, PTA

Title

President

Phone

(803) 445-2941

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lyles

  • Physical Therapist
  • Easley, SC
  • NPI 1770972937
  Medicare reassignment Care Compare group NPD
• Celise M Zbytovsky, PT

  • Physical Therapist
  • West Columbia, SC
  • NPI 1275643504
  Medicare reassignment Care Compare group
• Katie Riepen

  • Physical Therapist
  • Irmo, SC
  • NPI 1922404235
  NPD (past)

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

{
    "created_epoch": "1482019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1740724210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 COLLEGE ST",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632903",
            "telephone_number": "803-445-2941",
            "fax_number": "833-450-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 COLLEGE ST",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632903",
            "telephone_number": "803-445-2941",
            "fax_number": "833-450-0785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 S Assembly St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292014545",
            "country_code": "US",
            "telephone_number": "803-445-2941",
            "fax_number": "833-450-0785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WARREN REHAB GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-18",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JUDD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-445-2941",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7639",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• John Walker
• Kendra Nicole Walker, RN
• Tabatha Holly Walker, LPC
• Emily Elizabeth Walsh
• Warriors Pride Transportation Services, LLC.
• William Prentis Waters III, DPT
• Yolanda Monique Welbon
• Connie Lynn Welden, RDH
• Wellness Foundation

• Physical Therapist in Irmo, SC
• Providers in Irmo, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.