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

Individual provider Physical Therapist · NPI 1497634877

Connor Pendergraft, DPT is a Physical Therapist in Private Practice in Bristol, Virginia. Qualified in 2025, 1 year ago. Practices with Jordan C Black, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

295 Bristol East Rd
Bristol, VA 24202-5532
Phone: (276) 591-5484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2041 Hamilton Pl, Johnson City, TN 37604-7920 — (423) 804-1020

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16713 (TN)

Record details

NPI number1497634877
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 29, 2025
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Jordan C Black — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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