Individual provider Active NPI

Andrew Thomas Wilbekin

  • Physical Therapist
  • Columbus, GA
National Provider Identifier
1891406740
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016371 Issued in GA
Practice address
1519 13TH Ave
Columbus, GA 31901-1908
Phone
(706) 315-8175
NPI assigned
Dec 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016371 GA Primary

Addresses

Primary practice location

1519 13TH Ave
Columbus, GA 31901-1908

Mailing address

1519 13TH Ave
Columbus, GA 31901-1908
Phone (706) 315-8175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230113000140 GA Practitioner - Physical Therapist in Private Practice 2163893967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
P4 Physical Therapy Limited Partnership Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
NM BNPT Investment LLC PastSince Feb 3, 2024 Accepting new patients

Locations

203 Narrows Pkwy
Ste D
Birmingham, AL 35242
Phone (205) 719-2420

1519 13th Ave
Columbus, GA 31901
Phone (706) 315-8175

1805 W Point Rd
Ste A
Lagrange, GA 30240
Phone (706) 845-9383

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1891406740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 13TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011908",
            "telephone_number": "706-315-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 13TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011908",
            "telephone_number": "706-315-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBEKIN",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.