Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Physician Group Texas Physiatry Services LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1962390708

Impact Physician Group Texas Physiatry Services LLC is a Physical Medicine & Rehabilitation Physician in Elgin, South Carolina. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Pinnacle Pkwy
Elgin, SC 29045-8389
Phone: (803) 438-8890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3085 Taylor Rd, Cayce, SC 29033-2745 — (803) 258-8240

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1962390708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Miller — Ceo · (678) 967-5599
NPI enumeratedJune 27, 2025
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address21 Eastbrook Bnd Ste 218, Peachtree City, GA 30269-1546

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