Larry David Youngblood III, PT, DPT, ATC, LAT
NPI 1306365895ActiveIndividual· Physical Therapist· Macon, GA
Physical Therapist (PT, DPT, ATC, LAT) with Macon Orthopaedic and Hand Center, PA, practicing in Macon, Georgia. Medicare paid $93,912 for services to 136 patients in 2024.
Overview
| NPI | 1306365895 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, ATC, LAT |
| Sole proprietor | No |
| NPI issued | Sep 15, 2017 |
| Last updated in NPPES | Jul 6, 2026 |
| Certified by provider | Jul 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT016469 | GA |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | AT003284 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 136 |
|---|---|
| Services billed | 4,792 across 9 procedure codes |
| Paid by Medicare | $93,912 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Macon Orthopaedic and Hand Center, PAMacon, GA · 89 clinicians
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All 103 physical therapists in Macon · All physical therapists in Georgia