WILBUR LEW BLACKMAN III MPT
NPI 1033173000
Physical Therapist in Villa Rica, GA

Active since April 14, 2006Accepts Medicare Assignment
921 MOORES FERRY RD STE D, VILLA RICA, GA 30180(678) 840-8881 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wilbur Lew Blackman Iii Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILBUR LEW BLACKMAN III MPT (NPI 1033173000) is an individual physical therapist in Villa Rica, Georgia, licensed in Georgia (PT006344) and active in the NPI registry since April 2006. He maintains a secondary practice location in Carrollton and is a graduate of Medical College Of Georgia School Of Medicine (1998).

NPPES Registry Identity

NPI1033173000
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameWILBUR LEW BLACKMAN IIICredential: MPT
Location Address921 MOORES FERRY RD STE DVilla Rica, GA 30180-9706
Mailing Address1200 Corporate Dr Ste 400Hoover, AL 35242-5424 · (423) 238-7217
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1998
Enumeration DateApril 14, 2006
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
NPI 1033173000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in GA · PT006344 Licensed in GA · 416
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
921 MOORES FERRY RD STE D, Villa Rica, GA 30180

Secondary Practice Location 1

Location 1812 S Park StCarrollton, GA 30117-4412 · Phone (770) 834-7436 · Fax (770) 830-5954

Other Identifiers 1

Medicaid000918794AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Wilbur Lew Blackman Iii Mpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951897107
PECOS Enrollment IDI20251226001345

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
921 MOORES FERRY RD STE D
VILLA RICA, GA 30180
Physical Therapist
921 MOORES FERRY RD STE D
VILLA RICA, GA 30180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilbur Blackman's NPI number?

The NPI number for Wilbur Blackman is 1033173000. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Wilbur Blackman located?

Wilbur Blackman practices at 921 Moores Ferry Rd Ste D, Villa Rica, GA 30180. The listed phone number is (678) 840-8881.

What is Wilbur Blackman's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Wilbur Blackman enrolled in Medicare?

Yes. Wilbur Blackman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Wilbur Blackman was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.