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

Mr. Willie David Beavers III, PT, DPT, GCS

Individual provider Physical Therapist · NPI 1336554955

Mr. Willie David Beavers III, PT, DPT, GCS is a Physical Therapist in Private Practice in Stockbridge, Georgia. Qualified in 2013, 13 years ago. Practices with Empowerme Rehabilitation Georgia, LLC, a 82-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Licensed in
GA
In the registry since
2014
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.

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Practice location Address checks out

549 Country Club Dr
Stockbridge, GA 30281-6347
Phone: (404) 438-7445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1670 Clairmont Rd, Decatur, GA 30033-4004 — (404) 321-6111

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence PT011076 (GA)
Physical Therapist Taxonomy 225100000X · Licence PT011076 (GA)

Record details

NPI number1336554955
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , GCS
Sole proprietorYes
NPI enumeratedJune 23, 2014
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Empowerme Rehabilitation Georgia, Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stockbridge