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

Mr. Shannon Brantley, PT, ATC

Individual provider Physical Therapist · NPI 1609081942

Mr. Shannon Brantley, PT, ATC is a Physical Therapist in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

101 Harris Industrial Blvd
Vidalia, GA 30474-8845
Phone: (912) 277-2044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT 001133 (GA)
Physical Therapist Taxonomy 225100000X · Licence PT 007647 (GA)

Record details

NPI number1609081942
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , ATC
Sole proprietorNo
NPI enumeratedMay 11, 2007
Last updated in NPPESSeptember 11, 2025

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