Physical Rehabilitation Group, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL REHABILITATION GROUP, LLC

Practice address

700 Plaza Cir Ste P
Clinton, SC 29325-7556

Phone

(864) 938-0111

Fax

(864) 938-0811

NPI assigned

Jun 19, 2007

Last updated

Aug 20, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

PHYSICAL REHABILITATION GROUP, LLCAs reported in NPPES

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

Authorized official

Name

Mr. David W Pegram, PTNPI 1013083690

Title

Owner

Phone

(803) 732-5887

Specialties & licenses 1

Addresses

Other names 1

• Physicians Rehabilitation Group Former legal business name

Tax ID family

Physical Rehabilitation Group4 organizations share this tax ID, including this one

Part of

Physical Rehabilitation Group

Other organizations with this tax ID 3

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

• Physical Rehabilitation Group

  • Physical Therapist
  • Conway, SC
  • NPI 1275908246
  NPD tax ID
• Physical Rehabilitation Group

  • Physical Therapist
  • Columbia, SC
  • NPI 1629407606
  NPD tax ID
• Physical Rehabilitation Group, LLC

  • Physical Therapist
  • Gaffney, SC
  • NPI 1376240796
  NPD tax ID

Locations

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.

• David W Pegram, PT

  • Physical Therapist
  • Spartanburg, SC
  • NPI 1013083690
  NPD (past) Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1821293721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3408",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290634015",
            "telephone_number": "803-732-5887",
            "fax_number": "803-732-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PLAZA CIR STE P",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257556",
            "telephone_number": "864-938-0111",
            "fax_number": "864-938-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL REHABILITATION GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICAL REHABILITATION GROUP, LLC",
        "enumeration_date": "2007-06-19",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "PEGRAM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-732-5887",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Rehabilitation Group",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Physicians Rehabilitation Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kathryn Anderson Peacock, PHARMD
• Tracy A Pedigo, CRNA
• Jessica Isabella Persaud
• Starlin D. Phelps, MA, CACP
• Kristin Maureen Phillips, FNP-C
• Physician Management Services of South Carolina, LLC
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• Piedmont Regional Urology

• Physical Therapist in Clinton, SC
• Providers in Clinton, 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 Aug 20, 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.