Individual provider Active NPI

Michelle Renee Wilson, DPT

  • Physical Therapist
  • Brunswick, GA
National Provider Identifier
1821422841
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070020236 Issued in IL
Practice address
1106 Fountain Park Cir
Brunswick, GA 31520-4806
Phone
(912) 262-2151
NPI assigned
Aug 27, 2013
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20131021001481 IL Practitioner - Physical Therapist in Private Practice 5698900058 Reassigns benefits to 1 organization
I20250227000614 GA Practitioner - Physical Therapist in Private Practice 5698900058 Reassigns benefits to 3 organizations
I20260226000967 SC Practitioner - Physical Therapist in Private Practice 5698900058 Reassigns benefits to 3 organizations

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
Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians

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

LicenseStateTypeSpecialty
CP053151TSCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Aug 26, 2013 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Dec 6, 2024 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Dec 6, 2024 Accepting new patients
Benchmark Health Services Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Dec 6, 2024 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist CurrentSince Dec 6, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Aug 26, 2013 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist CurrentSince Feb 9, 2026 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Dec 6, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Dec 6, 2024 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.

View all 13

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.

Verify at the official NPI Registry.