Healthcare Provider Details

I. General information

NPI: 1144143652
Provider Name (Legal Business Name): REGAN MCGAHA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 SPRINGHALL DR STE A
GOOSE CREEK SC
29445-5372
US

IV. Provider business mailing address

5150 TRUMP ST UNIT 1705
NORTH CHARLESTON SC
29420-8381
US

V. Phone/Fax

Practice location:
  • Phone: 843-330-4496
  • Fax:
Mailing address:
  • Phone: 864-395-0927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: