Organization Active NPI

Island P.T.,LLC

  • Physical Therapist
  • Charleston, SC
National Provider Identifier
1942454145
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4091 Issued in SC
Legal business name
ISLAND P.T.,LLC
Practice address
1064 Gardner Rd Ste 309
Charleston, SC 29407-5746
Phone
(843) 744-5527
Fax
(843) 746-9246
NPI assigned
Nov 14, 2008
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Mr. Derek A Sessions, MSR-PTNPI 1326017914
Title
Owner/PT
Phone
(843) 744-5527

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 Therapist 225100000X 4091 SC Primary

Addresses

Primary practice location

1064 Gardner Rd Ste 309
Charleston, SC 29407-5746

Mailing address

1981 Ashley Hall Rd
Charleston, SC 29407-9672
Phone (843) 744-5527

Other practice location 1

1797 Main Rd
Johns Island, SC 29455-3447
Phone (843) 559-7889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090408000371 SC Part B Supplier - Clinic/Group Practice 1355498338 Receives reassigned benefits from 4 practitioners
Practice locations: Johns Island, SC; Charleston, SC

National Provider Directory

National Provider Directory

Locations

1064 Gardner Rd
Ste 309
Charleston, SC 29407
Phone (843) 744-5527

1245 Savannah Hwy
Charleston, SC 29407
Phone (843) 766-5595

1797 Main Rd
Johns Island, SC 29455
Phone (843) 559-5455

4600 Goer Dr
Ste 210
North Charleston, SC 29406
Phone (843) 744-5527

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1942454145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 ASHLEY HALL RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294079672",
            "telephone_number": "843-744-5527",
            "fax_number": "843-746-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 GARDNER RD STE 309",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075746",
            "telephone_number": "843-744-5527",
            "fax_number": "843-746-9246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1797 Main Rd",
            "address_purpose": "LOCATION",
            "city": "Johns Island",
            "state": "SC",
            "postal_code": "294553447",
            "country_code": "US",
            "telephone_number": "843-559-7889",
            "fax_number": "843-559-2355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISLAND P.T.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "SESSIONS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "843-744-5527",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSR-PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.