NPI age
11 years
Enumerated 2014-06-23
● Active
Type 1 · Individual
MR. Willie David Beavers III, PT, DPT, GCS
Beavers is 1 of 1 physical therapist providers in Stockbridge and 1 of 33 in Georgia.
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 33 active physical therapist providers in Georgia.
NPI age
11 years
↑ 2 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 15% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-06Enumerated in NPPES
2014
2026
Where they practice
Practice location
549 Country Club Dr
Stockbridge, GA 302816347
Mailing address
549 Country Club Dr
Stockbridge, GA 302816347
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1670 Clairmont Rd, Main Hospital, Room 1c 232
Decatur, GA 300334004
Specialties
-
Physical Therapist PrimaryA 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...
-
Physical TherapistPhysical 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...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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