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

Michael R Wimberly II, PT, MPT

Individual provider Physical Therapist · NPI 1700937950

Michael R Wimberly II, PT, MPT is a Physical Therapist in Private Practice in Vidalia, Louisiana. Qualified in 2001, 25 years ago. Practices with J H Fairbanks, MD PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
25
Licensed in
LA, MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

See every abbreviation used in this directory →

Practice location Address checks out

107 Frnt ST Ste 230
Vidalia, LA 71373-2836
Phone: (318) 336-2224
Fax: (318) 336-6068
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT04879 (LA)
Physical Therapist Taxonomy 225100000X · Licence PT3657 (MS)

Record details

NPI number1700937950
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , MPT
Sole proprietorNo
NPI enumeratedJanuary 15, 2007
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice J H Fairbanks, Md Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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