# PHYSICAL REHABILITATION GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PHYSICAL REHABILITATION GROUP, LLC
- **Other names:** Physicians Rehabilitation Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033170550
- **Legal business name:** PHYSICAL REHABILITATION GROUP, LLC
- **Authorized official:** MR. DAVID W PEGRAM PT (OWNER)
- **Authorized official phone:** (803) 732-5887

## Contact information

- **Practice address:** 113 PROFESSIONAL PARK RD, COLUMBIA, SC 29229-7847
- **Practice address phone:** (803) 732-5887
- **Practice address fax:** (803) 732-5997
- **Mailing address:** PO BOX 3408, IRMO, SC 29063-4015
- **Mailing address phone:** (803) 732-5887
- **Mailing address fax:** (803) 732-5997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2006
- **Last updated:** 08/20/2025