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

Peter M. Petrusic, MS, ATC, PTA

Individual provider Athletic Trainer · NPI 1265929285

Peter M. Petrusic, MS, ATC, PTA is an Athletic Trainer in Irmo, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

7467 Saint Andrews Rd Ste 9
Irmo, SC 29063-2876
Phone: (803) 749-5031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3954 (SC)
Athletic Trainer Taxonomy 2255A2300X · Licence 2403 (SC)

Record details

NPI number1265929285
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , PTA
Sole proprietorNo
NPI enumeratedApril 16, 2018
Last updated in NPPESApril 16, 2018

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