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

Beverly Blakely, PT

Individual provider Physical Therapist · NPI 1417077116

Beverly Blakely, PT is a Physical Therapist in Fayetteville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (770) 719-7182
Fax: (770) 719-7189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT000628 (GA)

Record details

NPI number1417077116
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 8, 2007
Mailing address12320 Edgewater Dr, Hampton, GA 30228-2645

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