Healthcare Provider Details

I. General information

NPI: 1104743988
Provider Name (Legal Business Name): LITTLE STEPS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1353 BROWNSWOOD RD
JOHNS ISLAND SC
29455-3233
US

IV. Provider business mailing address

1353 BROWNSWOOD RD
JOHNS ISLAND SC
29455-3233
US

V. Phone/Fax

Practice location:
  • Phone: 314-610-9344
  • Fax:
Mailing address:
  • Phone: 314-610-9344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: GRACE MARTZ
Title or Position: OWNER
Credential: PT, DPT
Phone: 314-610-9344