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

Mr. Larry David Youngblood III, PT, DPT, ATC, LAT

Individual provider Physical Therapist · NPI 1306365895

Mr. Larry David Youngblood III, PT, DPT, ATC, LAT is a Physical Therapist in Private Practice in Macon, Georgia. Qualified in 2022, 4 years ago. Practices with Evans Rehabilitation Services, LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

See every abbreviation used in this directory →

Practice location Address checks out

3708 Northside Dr
Macon, GA 31210-2404
Phone: (478) 750-2801
Fax: (478) 832-6506
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016469 (GA)
Athletic Trainer Taxonomy 2255A2300X · Licence AT003284 (GA)

Record details

NPI number1306365895
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC , LAT
Sole proprietorNo
NPI enumeratedSeptember 15, 2017
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Evans Rehabilitation Services, Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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