Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Edgar James Klixbull, DPT, OCS, CSCS

Individual provider Physical Therapist · NPI 1114027778

Dr. Edgar James Klixbull, DPT, OCS, CSCS is a Physical Therapist in Private Practice in Myrtle Beach, South Carolina. Qualified in 2003, 23 years ago. Accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
23
Licensed in
SC
In the registry since
2006
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

5900 N Kings Hwy Ste E
Myrtle Beach, SC 29577-2326
Phone: (843) 839-4900
Fax: (843) 604-2857
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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 5347 (SC)

Record details

NPI number1114027778
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , OCS , CSCS
Sole proprietorNo
NPI enumeratedSeptember 24, 2006
Last updated in NPPESNovember 9, 2020
Certification dateNovember 9, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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