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

Kristoffer Totanes Magallanes

Individual provider Physical Therapist · NPI 1134836984

Kristoffer Totanes Magallanes is a Physical Therapist in Private Practice in Eastanollee, Georgia. Qualified in 2020, 6 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Georgia.

Years since qualifying
6
Licensed in
CT, GA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

201 Walmart Way
Eastanollee, GA 30538
Phone: (706) 282-1025
Fax: (706) 886-8156
Show map & directions

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

Additional practice locations (1)

  • 1580 Sawgrass Corporate Pkwy Ste 200, Sunrise, FL 33323-2869 — (954) 739-4247

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016489 (GA)
Physical Therapist Taxonomy 225100000X · Licence 12120 (CT)

Record details

NPI number1134836984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 1, 2022
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Eastanollee