Dre Holding Co LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DRE HOLDING CO LLC

Practice address

857 Mallard Lakes Dr
Lexington, SC 29072-7572

Phone

(803) 816-0136

NPI assigned

Jan 10, 2024

Organization subpart

No

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

Authorized official

Name

Kyle Richard Daugherty, DPTNPI 1154834364

Title

Owner

Phone

(803) 816-0136

Specialties & licenses 1

Addresses

Other names 1

• PhysioFunction PT & Performance Doing business as

Locations

Practitioners 1

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

• Kyle Richard Daugherty, DPT

  • Physical Therapist
  • Lexington, SC
  • NPI 1154834364
  NPD Authorized official

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1851162739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD CHEROKEE RD STE F260",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729316",
            "telephone_number": "803-816-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 MALLARD LAKES DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727572",
            "telephone_number": "803-816-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRE HOLDING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-816-0136",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhysioFunction PT & Performance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PhysioFunction PT & Performance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Drake, COTA/L
• Ivey Drawdy, LPCA
• Drayer Physical Therapy - South Carolina, LLC
• Drayer Physical Therapy - South Carolina, LLC
• Drayer Physical Therapy-South Carolina, LLC
• Jennifer Dressman
• James Ashley Driggers, PHARM.D
• DRS. Smith & Robinson, PA
• Kabria Drummond, LPC
• Nicole Rose Dubois, DMD

• Physical Therapist in Lexington, SC
• Providers in Lexington, 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 Feb 21, 2024; 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.