NPIMap

Organization Active NPI

Physical Therapy Pros, LLC

  • Clinical Electrophysiology Physical Therapist
  • Savannah, GA
National Provider Identifier
1609207885
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
PT008390 Issued in GA
Legal business name
PHYSICAL THERAPY PROS, LLC
Practice address
140 Johnny Mercer Blvd Ste 10a
Savannah, GA 31410-2169
Phone
(404) 590-5366
Fax
(470) 809-1582
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard J McKibbenNPI 1407949134
Title
Owner
Phone
(706) 325-6971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Clinical Electrophysiology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251E1300X PT008390 GA Primary
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X PT008390 GA

Addresses

Primary practice location

140 Johnny Mercer Blvd Ste 10a
Savannah, GA 31410-2169

Mailing address

PO Box 1157
Jackson, GA 30233-0024
Phone (706) 325-6971

Other practice location 1

3300 Herons Glen Blvd Ft
Myers, FL 33917
Phone (470) 809-1581

Other practice location 2

1544 Route 61 Hwy S Ste 6174
Pottsville, PA 17901-4208
Phone (470) 809-1581

Other practice location 3

1107 Greer St Ste A
Cordele, GA 31015-1921
Phone (404) 590-5366

Other practice location 4

7351 Old Moon Rd
Columbus, GA 31909-7291
Phone (404) 590-5366

Other practice location 5

1000 Hillcrest Pkwy
Dublin, GA 31021-4208
Phone (404) 590-5366

Other practice location 6

55 Cantrell Rd Ste 100
Cleveland, GA 30528-1083
Phone (404) 590-5366

Other practice location 7

4216 Washington Rd Ste 2
Evans, GA 30809-4717
Phone (404) 590-5366

Other practice location 8

840 Pine St Ste 880
Macon, GA 31201-7525
Phone (404) 590-5366

Other practice location 9

2109 N Patterson St
Valdosta, GA 31602-2990
Phone (404) 590-5366

Other practice location 10

312 Margie Dr # 800
Warner Robins, GA 31088-8913
Phone (404) 590-5366

Other practice location 11

1805 Vernon Rd Ste A
LaGrange, GA 30240-3871
Phone (404) 590-5366

Other practice location 12

670 North Ave NW Ste 201
Marietta, GA 30060-1100
Phone (404) 590-5366

Other practice location 13

3300 Herons Glen Blvd
North Fort Myers, FL 33917-6719
Phone (404) 590-5366

Other practice location 14

535 Glynn St S Ste 2008
Fayetteville, GA 30214-2029
Phone (404) 590-5366

Other practice location 15

775 Poplar Rd Ste 350
Newnan, GA 30265-8304
Phone (404) 590-5366

Other practice location 16

304 Jones Ave
Waynesboro, GA 30830-1509
Phone (404) 590-5366

Other practice location 17

1430 US Highway 82 W Ste 103
Tifton, GA 31793-8010
Phone (404) 590-5366

Other practice location 18

1556 E Forsyth St Ste A
Americus, GA 31709-3334
Phone (404) 590-5366

Other practice location 19

403 Hillcrest Dr Ste A
Easley, SC 29640-1207
Phone (404) 590-5366

Other practice location 20

304 Jones Ave
Waynesboro, GA 30830-1509
Phone (470) 809-1581

Other practice location 21

670 North Ave NW Ste 201
Marietta, GA 30060-1100
Phone (470) 809-1581

Other practice location 22

3939 Roswell Rd Ste 240
Marietta, GA 30062-6285
Phone (470) 809-1581

Other practice location 23

1544 Route 61 Hwy S Ste 6174
Pottsville, PA 17901-4208
Phone (404) 590-5366

Other practice location 24

3901 National Dr Ste 100
Burtonsville, MD 20866-1176
Phone (404) 590-5366

Other practice location 25

371 Noah Dr Ste 102
Jasper, GA 30143-8708
Phone (404) 590-5366

Other practice location 26

1650 Skylyn Dr Ste 380
Spartanburg, SC 29307-1087
Phone (404) 590-5366

Other practice location 27

10591 Veneto Dr
Fort Myers, FL 33913-7021
Phone (404) 590-5366

Other practice location 28

3913 Georgetown Rd NW
Cleveland, TN 37312-1806
Phone (404) 590-5366

Other identifiers 1

IdentifierTypeStateIssuer
003175864AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140121002013 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254569262 Receives reassigned benefits from 9 practitioners
Practice locations: Cordele, GA; Evans, GA; Fayetteville, GA; Lagrange, GA; Macon, GA; Marietta, GA; Newnan, GA; Snellville, GA…

National Provider Directory

National Provider Directory

Locations

312 Margie Dr
#800
Warner Robins, GA 31088

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1609207885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1157",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302330024",
            "telephone_number": "706-325-6971",
            "fax_number": "470-809-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 JOHNNY MERCER BLVD STE 10A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102169",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Herons Glen Blvd Ft",
            "address_purpose": "LOCATION",
            "city": "Myers",
            "state": "FL",
            "postal_code": "33917",
            "country_code": "US",
            "telephone_number": "470-809-1581",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1544 Route 61 Hwy S Ste 6174",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179014208",
            "country_code": "US",
            "telephone_number": "470-809-1581",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Greer St Ste A",
            "address_purpose": "LOCATION",
            "city": "Cordele",
            "state": "GA",
            "postal_code": "310151921",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7351 Old Moon Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319097291",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Hillcrest Pkwy",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310214208",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Cantrell Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "GA",
            "postal_code": "305281083",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4216 Washington Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308094717",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 Pine St Ste 880",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312017525",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2109 N Patterson St",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316022990",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Margie Dr # 800",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310888913",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 Vernon Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302403871",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670 North Ave NW Ste 201",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601100",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Herons Glen Blvd",
            "address_purpose": "LOCATION",
            "city": "North Fort Myers",
            "state": "FL",
            "postal_code": "339176719",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Glynn St S Ste 2008",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302142029",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 Poplar Rd Ste 350",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302658304",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 Jones Ave",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "GA",
            "postal_code": "308301509",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 US Highway 82 W Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317938010",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1556 E Forsyth St Ste A",
            "address_purpose": "LOCATION",
            "city": "Americus",
            "state": "GA",
            "postal_code": "317093334",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Hillcrest Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296401207",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 Jones Ave",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "GA",
            "postal_code": "308301509",
            "country_code": "US",
            "telephone_number": "470-809-1581",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670 North Ave NW Ste 201",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601100",
            "country_code": "US",
            "telephone_number": "470-809-1581",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3939 Roswell Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300626285",
            "country_code": "US",
            "telephone_number": "470-809-1581",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1544 Route 61 Hwy S Ste 6174",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "179014208",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 National Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Burtonsville",
            "state": "MD",
            "postal_code": "208661176",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "371 Noah Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301438708",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Skylyn Dr Ste 380",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293071087",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10591 Veneto Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339137021",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3913 Georgetown Rd NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373121806",
            "country_code": "US",
            "telephone_number": "404-590-5366",
            "fax_number": "470-809-1582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY PROS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "MCKIBBEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-325-6971"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "GA",
            "license": "PT008390",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT008390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003175864A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.