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

Benjamin Clark Stovall, PT

Individual provider Physical Therapist · NPI 1730721655

Benjamin Clark Stovall, PT is a Physical Therapist in Private Practice in Waycross, Georgia. Qualified in 1994, 32 years ago. Practices with Sports Medicine and Rehab Therapy, LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
32
Licensed in
GA
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2003 Alice St Ste A
Waycross, GA 31501-6209
Phone: (912) 285-0053
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2003 Alice St Ste A, Waycross, GA 31501-6209 — (912) 285-0053

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4467 (GA)

Record details

NPI number1730721655
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 11, 2019
Last updated in NPPESOctober 11, 2019
Mailing address5210 Meadow Wood Rd, Blackshear, GA 31516-4473

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Sports Medicine And Rehab Therapy, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Waycross