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

Richard J McKibben, PT, DSC, ECS

Individual provider Clinical Electrophysiology Physical Therapist · NPI 1407949134

Richard J McKibben, PT, DSC, ECS is a Physical Therapist in Private Practice in Kingsland, Georgia. Qualified in 1995, 31 years ago. Practices with Metro Orthopedic Physical Therapy, Inc, a 5-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Georgia and Pennsylvania.

Years since qualifying
31
Licensed in
GA, PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

100 A Lindsey Ln
Kingsland, GA 31548-0000
Phone: (912) 729-1333
Fax: (912) 729-5259
Show map & directions

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

Additional practice locations (7)

  • 1000 Hillcrest Pkwy, Dublin, GA 31021-4208 — (470) 809-1581
  • 4216 Washington Rd Ste 2, Evans, GA 30809-4717 — (470) 809-1581
  • 371 Noah Dr Ste 102, Jasper, GA 30143-8708 — (470) 809-1581
  • 840 Pine St Ste 880, Macon, GA 31201-7525 — (470) 809-1581
  • 6330 Primrose Hill Ct Ste 201, Norcross, GA 30092-4544 — (470) 809-1581
  • 140 Johnny Mercer Blvd Ste 10a, Savannah, GA 31410-2169 — (470) 809-1581
  • 165 N Park Trl Ste 100, Stockbridge, GA 30281-6509 — (470) 809-1581

Specialties & licences

Clinical Electrophysiology Physical Therapist (primary) Taxonomy 2251E1300X · Licence PT004832 (GA)
Clinical Electrophysiology Physical Therapist Taxonomy 2251E1300X · Licence PT032925 (PA)
Physical Therapist Taxonomy 225100000X · Licence PT004832 (GA)

Record details

NPI number1407949134
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DSC , ECS
Sole proprietorNo
NPI enumeratedOctober 2, 2006
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Metro Orthopedic Physical Therapy, Inc. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare