# DRAYER PHYSICAL THERAPY - SOUTH CAROLINA, 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417544115
- **Authorized official:** BRYAN BARGANIER (CFO)
- **Authorized official phone:** (205) 536-7602

## Contact information

- **Practice address:** 4711 FOREST DR STE 19, COLUMBIA, SC 29206-3125
- **Practice address phone:** (803) 888-7760
- **Mailing address:** 1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
- **Mailing address phone:** (423) 238-7217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 12/29/2020
- **Last updated:** 12/29/2020