Individual provider

Willie Beavers, PT, DPT, GCS

Geriatric Physical Therapist Physical Therapist Medicare enrolled

Willie Beavers, PT, DPT, GCS is a Geriatric Physical Therapist in Stockbridge, GA, registered under NPI 1336554955. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 549 COUNTRY CLUB DR, Stockbridge, GA 30281. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

549 COUNTRY CLUB DR, Stockbridge, GA 30281 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PT011076 GA Geriatric Physical Therapist primary
PT011076 GA Physical Therapist

This provider holds licence PT011076 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physical Therapist In Private Practice
PAC ID
3274886056
Enrollment ID
I20181024001524

Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Therapist In Private Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Geriatrics covers

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult. NUCC Health Care Provider Taxonomy, code 2251G0304X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Geriatrics

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2251G0304X Geriatric Physical Therapist Geriatrics PT011076 GA primary
225100000X Physical Therapist PT011076 GA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1336554955 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 23, 2014
Last updatedMar 17, 2018
StatusActive
Sole proprietorYes
CredentialPT, DPT, GCS
Practice address 549 COUNTRY CLUB DR
Stockbridge, GA 30281
(404) 438-7445
This record was last updated on Mar 17, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1336554955 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 3 6 5 5 4 9 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 6 6 1 5 8 9 1

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1336554955?
NPI 1336554955 is the National Provider Identifier assigned to Willie Beavers, PT, DPT, GCS in Stockbridge, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Geriatrics cover?
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but…
How do I contact Willie Beavers, PT, DPT, GCS?
The phone number on file with NPPES is (404) 438-7445, last updated Mar 17, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Willie Beavers, PT, DPT, GCS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1336554955 a valid number?
Yes. 1336554955 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.