Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scintilla Charter Academy

Organization Physical Therapist · NPI 1740658558

Scintilla Charter Academy is a Physical Therapist in Valdosta, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

2171 E Park Ave
Valdosta, GA 31602-4436
Phone: (229) 244-5750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 1930 (GA)
Physical Therapist Taxonomy 225100000X · Licence 9005 (GA)
Occupational Therapist Taxonomy 225X00000X · Licence 6136 (GA)

Record details

NPI number1740658558
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Herndon — Office Manager · (229) 244-5750
NPI enumeratedSeptember 10, 2015
Last updated in NPPESSeptember 10, 2015
Mailing address2171 E Park Ave, Valdosta, GA 31602-4436

Other providers in Valdosta