NPIMap

Organization Active NPI

Olympia Innovations LLC

  • Physical Therapy Clinic/Center
  • Bluffton, SC
National Provider Identifier
1053010298
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OLYMPIA INNOVATIONS LLC
Practice address
69 Towne Dr
Bluffton, SC 29910-4201
Phone
(843) 969-1000
NPI assigned
Feb 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miriam Dehart, MPTNPI 1538615349
Title
President
Phone
(484) 951-7268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

69 Towne Dr
Bluffton, SC 29910-4201

Mailing address

69 Towne Dr
Bluffton, SC 29910-4201
Phone (843) 969-1000

Other practice location 1

95 Mathews Dr
Hilton Head Island, SC 29926-3734
Phone (843) 969-1000

Other practice location 2

322 Commercial Dr Ste A
Savannah, GA 31406-3625
Phone (912) 499-0836

Other names 1

  • Fyzical Therapy & Balance Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20231122002346 SC Part B Supplier - Clinic/Group Practice 0244688604 Receives reassigned benefits from 6 practitioners
Practice locations: Bluffton, SC; Hilton Head Island, SC
O20250220002065 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0244688604 Receives reassigned benefits from 5 practitioners
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

69 Towne Dr
Bluffton, SC 29910
Phone (843) 969-1000

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1053010298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 TOWNE DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104201",
            "telephone_number": "843-969-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 TOWNE DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104201",
            "telephone_number": "843-969-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Mathews Dr",
            "address_purpose": "LOCATION",
            "city": "Hilton Head Island",
            "state": "SC",
            "postal_code": "299263734",
            "country_code": "US",
            "telephone_number": "843-969-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Commercial Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063625",
            "country_code": "US",
            "telephone_number": "912-499-0836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLYMPIA INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "DEHART",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-951-7268",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy & Balance Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Therapy & Balance Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.