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

Wilbur Lew Blackman III, MPT

Individual provider Physical Therapist · NPI 1033173000

Wilbur Lew Blackman III, MPT is a Physical Therapist in Private Practice in Villa Rica, Georgia. Graduated from Medical College of Georgia School of Medicine in 1998, 28 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
28
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

921 Moores Ferry Rd Ste D
Villa Rica, GA 30180-9706
Phone: (678) 840-8881
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 812 S Park St, Carrollton, GA 30117-4412 — (770) 834-7436

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT006344 (GA)
Physical Therapist Taxonomy 225100000X · Licence 416 (GA)

Record details

NPI number1033173000
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Villa Rica