Active NPI
Michelle Renee Wilson, DPT
- Physical Therapist
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070020236
- Practice address
- 1106 Fountain Park Cir
Brunswick, GA 31520-4806 - Phone
- (912) 262-2151
- NPI assigned
- Aug 27, 2013
- Last updated
- Feb 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP053151T | SC | |
| Physical Therapist | 225100000X | PT016902 | GA | |
| Physical Therapist | 225100000X | 070020236 | IL | Primary |
Addresses
Primary practice location
1106 Fountain Park Cir
Brunswick, GA 31520-4806
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
1644 E 53rd St
Chicago, IL 60615-4210
Phone (773) 241-6450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, GA, SC
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Toledo College of Medicine, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11 Palmetto Bay Rd
Suite 103
Hilton Head Island, SC 29928-7333
Phone (843) 715-0345
1106 Fountain Park Cir
Brunswick, GA 31520-4806
Phone (912) 262-2151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP053151T | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Ga, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
1106 Fountain Park Cir
Brunswick, GA 31520
Phone (912) 262-2151
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
6586 GA Highway 40 E
Ste B3
Saint Marys, GA 31558
Phone (912) 809-3015
1644 E 53rd St
Chicago, IL 60615
Phone (773) 241-6450
13614 Cicero Ave
Crestwood, IL 60418
Phone (708) 389-3077
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
135 Blythewood Rd
#J
Blythewood, SC 29016
Phone (803) 851-1037
1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058
11 Palmetto Bay Rd
Ste 103
Hilton Head Island, SC 29928
Phone (843) 715-0345
7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031
3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772
1672 N Main St
Ste 11
Summerville, SC 29486
Phone (843) 289-1456
Organizations & group practices 13
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.
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
GA, Physical Therapist, SC
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
-
- Physical Therapy Clinic/Center
- Snellville, GA
- NPI 1942592092
-
dba Benchmark PT - West Forsyth
- Physical Therapist
- Cumming, GA
- NPI 1730540543
-
dba Benchmark PT
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1518695436
Physical Therapist
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1821422841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 FOUNTAIN PARK CIR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204806",
"telephone_number": "912-262-2151"
}
],
"practiceLocations": [
{
"address_1": "1644 E 53rd St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606154210",
"country_code": "US",
"telephone_number": "773-241-6450",
"fax_number": "773-241-6501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILSON",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-27",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "CP053151T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016902",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070020236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.