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

Walter Lee Bishop, PT

Individual provider Physical Therapist · NPI 1609813229

Walter Lee Bishop, PT is a Physical Therapist in Private Practice in Waycross, Georgia. Qualified in 2002, 24 years ago. Practices with Sports Medicine and Rehab Therapy, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
24
Licensed in
GA
In the registry since
2006
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

2003 Alice St
Waycross, GA 31501-6209
Phone: (912) 285-0053
Fax: (912) 283-9289
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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 PT007644 (GA)

Record details

NPI number1609813229
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 1, 2006
Last updated in NPPESApril 6, 2017
Mailing address2003 Alice St, Waycross, GA 31501-6209

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Sports Medicine And Rehab Therapy, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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