Wilbur Lew Blackman III, MPT
NPI 1033173000ActiveIndividual· Physical Therapist· Villa Rica, GA
Physical Therapist (MPT) in Villa Rica, Georgia, trained at Medical College of Georgia School of Medicine (class of 1998). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1033173000 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT |
| Sole proprietor | No |
| NPI issued | Apr 14, 2006 |
| Last updated in NPPES | Oct 27, 2025 |
| Certified by provider | Oct 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT006344 | GA |
| Physical Therapist | 225100000X | 416 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|
Education and affiliations
| Medical school | Medical College of Georgia School of Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Independent Physical Therapy of Georgia, LLCMonroe, GA · 531 clinicians
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