# WARREN REHAB GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740724210
- **Authorized official:** MATTHEW JUDD WARREN PTA (PRESIDENT)
- **Authorized official phone:** (803) 445-2941

## Contact information

- **Practice address:** 7430 COLLEGE ST, IRMO, SC 29063-2903
- **Practice address phone:** (803) 445-2941
- **Practice address fax:** (833) 450-0785
- **Mailing address:** 7430 COLLEGE ST, IRMO, SC 29063-2903
- **Mailing address phone:** (803) 445-2941
- **Mailing address fax:** (833) 450-0785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/18/2016
- **Last updated:** 03/31/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP7639 | — | SC |