# JAG28 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:** 1801655832
- **Authorized official:** JAMES JOSEPH GROVE (PRESIDENT)
- **Authorized official phone:** (623) 670-0399

## Contact information

- **Practice address:** 420 HERLONG AVE S STE 104, ROCK HILL, SC 29732-1091
- **Practice address phone:** (839) 274-3013
- **Practice address fax:** (839) 274-3014
- **Mailing address:** 4425 SHARON RD UNIT S802, CHARLOTTE, NC 28211-3691
- **Mailing address phone:** (162) 367-0039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 03/13/2024
- **Last updated:** 09/18/2026