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

Wilfredo Bernardo Clavecilla, PT

Individual provider Physical Therapist · NPI 1790908507

Wilfredo Bernardo Clavecilla, PT is a Physical Therapist in Private Practice in Woodstock, Georgia. Qualified in 1990, 36 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
36
Licensed in
GA
In the registry since
2007
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

6422 Bells Ferry Rd Ste B-124
Woodstock, GA 30189-6114
Phone: (770) 372-1211
Fax: (470) 202-3291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3947 Nemours Trail, Kennesaw, GA 30152-4598 — (770) 362-6366
  • 3451 Ernest W Barrett Pkwy Nw Ste 130, Marietta, GA 30064-5035 — (770) 422-5078
  • 2295 Towne Lake Pkwy Ste 148, Woodstock, GA 30189-5520 — (770) 926-2744

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT008523 (GA)

Record details

NPI number1790908507
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Woodstock