Rebel Pediatric Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REBEL PEDIATRIC THERAPY LLC

Practice address

5 Sycamore Ave
Mobile Clinic - No Services Rendered at This Address
Charleston, SC 29407

Phone

(951) 813-6148

NPI assigned

Feb 27, 2026

Last updated

Oct 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Holly Knapp, PT, DPTNPI 1508533761

Title

Physical Therapist

Phone

(951) 813-6148

Specialties & licenses 1

Addresses

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.

• Holly Knapp, DPT

  • Pediatric Physical Therapist
  • Centennial, CO
  • NPI 1508533761
  NPD Authorized official

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1912852526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SYCAMORE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294076705",
            "telephone_number": "951-813-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SYCAMORE AVE",
            "address_2": "MOBILE CLINIC - NO SERVICES RENDERED AT THIS ADDRESS",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29407",
            "telephone_number": "951-813-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBEL PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "951-813-6148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher John Reardon, MD
• Ellis Reavis
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• Benjamin Corwin Record, MD
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• Roscoe Rector Jr.
• Constance Redd

• Physical Therapist in Charleston, SC
• Providers in Charleston, 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 Oct 22, 2026; 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.