Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAG28 LLC
NPI 1801655832
Physical Therapist in Rock Hill, SC

Active since March 13, 2024
420 HERLONG AVE S STE 104, ROCK HILL, SC 29732(839) 274-3013(839) 274-3014 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 18, 2026, Feb 24, 2025, May 16, 2024 (3 updates tracked since 2024).

About Jag28 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAG28 LLC (NPI 1801655832) is a healthcare organization registered as a physical therapist in Rock Hill, South Carolina and active in the NPI registry since March 2024. The organization maintains a secondary practice location in Lake Wylie and lists James Joseph Grove, President, as its authorized official.

NPPES Registry Identity

NPI1801655832
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameJAG28 LLC
Location Address420 HERLONG AVE S STE 104Rock Hill, SC 29732-1091
Mailing Address4425 Sharon Rd Unit S802Charlotte, NC 28211-3691 · (162) 367-0039
Fax(839) 274-3014
Organization SubpartNo
Authorized OfficialJames Joseph GrovePresident · (623) 670-0399
Enumeration DateMarch 13, 2024
Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1801655832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
420 HERLONG AVE S STE 104, Rock Hill, SC 29732

Secondary Practice Location 1

Location 14381 Charlotte Hwy Ste 104Lake Wylie, SC 29710-7061 · Phone (803) 631-5485 · Fax (803) 701-7175

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jag28 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Jag28 LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Physical Therapist in Private Practice
NPI 1396394912
420 HERLONG AVE S STE 104
Rock Hill, SC 29732
(839) 274-3013
Same address
Physical Therapist in Private Practice
NPI 1881769644
420 HERLONG AVE S STE 104
Rock Hill, SC 29732
(839) 274-3013
✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1962290452
1765 ALYCE LN APT 204
Rock Hill, SC 29732
(803) 367-6556
0.9 mi
Physical Therapist in Private Practice
NPI 1396177234
420 SOUTH HERLONG AVE SUITE 104
Rock Hill, SC 29732
(839) 274-3013
✔ Accepts Medicare1.0 mi
Occupational Therapist in Private Practice
NPI 1619130960
4381 CHARLOTTE HWY STE 104
Lake Wylie, SC 29710
(803) 631-5485
11 mi
Physical Therapist in Private Practice
NPI 1578443669
4381 CHARLOTTE HWY STE 104
Lake Wylie, SC 29710
(803) 631-5485
11 mi
Qualified Speech Language Pathologist
NPI 1134124688
4381 CHARLOTTE HWY STE 104
Lake Wylie, SC 29710
(803) 631-5485
11 mi
Occupational Therapist in Private Practice
NPI 1114771946
4381 CHARLOTTE HWY STE 104
Lake Wylie, SC 29710
(803) 631-5485
11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jag28 LLC's NPI number?

The NPI number for Jag28 LLC is 1801655832. It was assigned to this organization in the NPPES registry on March 13, 2024.

Where is Jag28 LLC located?

Jag28 LLC is located at 420 Herlong Ave S Ste 104, Rock Hill, SC 29732. The listed phone number is (839) 274-3013.

What is Jag28 LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jag28 LLC enrolled in Medicare?

Yes. Jag28 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jag28 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Jag28 LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (4), Occupational Therapist in Private Practice (2) and Qualified Speech Language Pathologist (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jag28 LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Jag28 LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jag28 LLC was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.