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

Pro Form Therapy, LLC

Organization Physical Therapist · NPI 1679621874

Pro Form Therapy, LLC is a Physical Therapist in Hartsville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
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

1109 S 5th St
Hartsville, SC 29550-5797
Phone: (843) 861-2127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5186 (SC)

Record details

NPI number1679621874
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allen Brown — Physical Therapist · (843) 861-2127
NPI enumeratedJanuary 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing address632 Colony Rd, Hartsville, SC 29550-7976

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