Alan McIntosh

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT018134 Issued in GA

Practice address

430 W Cherry St
Jesup, GA 31545-1435

Phone

(912) 256-5610

NPI assigned

Dec 16, 2025

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore Physical Therapy LLCGroup PAC ID 7810247848, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restore Physical Therapy, LLC

  dba FYZICAL Therapy & Balance Center

  • Physical Therapist
  • Jesup, GA
  • NPI 1306331756
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1184589855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6363 HACKLEBARNEY RD",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315166034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W CHERRY ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451435",
            "telephone_number": "912-256-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT018134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanekia Marsh, NP-C
• Kayla Mathie, FNP-C
• Shauna Mattingly, LCSW
• Savannah Grace McDaniel, LAT, ATC
• Tiffany S. McDonald, LPC
• Me Pivot Holdings, LLC
• Andrea Brooke Meeks
• Cindy T Melton, PTA
• Megan E Mizell, FNP-BC
• Cecilia Mook, CST/CSFA

• Physical Therapist in Jesup, GA
• Providers in Jesup, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.