MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT) – Physical Therapist, NPI 1306365895

MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT) is a healthcare provider. based in Warner robins, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, ATC, LAT. They hold a License No. PT016469 (GA). The NPI Number for MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT) is 1306365895

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT)
NPI
1306365895
Phone
(478) 953-4563
Address
3051 WATSON BLVD STE 525
Enumeration Date
15 September 2017
Last Update Date
2 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068681707
Graduation Year
2022 (4 years ago)
PAC ID
9537525175
Group Practice PAC ID
2769467034
Professional Enrollment ID
I20230524000047
Address ID
GA306425101GR1001XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT)

  • 3051 WATSON BLVD STE 525

    WARNER ROBINS, GA 310938556

    Phone: (478) 953-4563

    Type: Mailing

  • 107 WATERBEND DR

    MILLEDGEVILLE, GA 310618954

    Phone: (478) 456-6943

    Type: Mailing

  • 251, South Clarke Street, Milledgeville, Baldwin County, Georgia, 31061, United States

    MILLEDGEVILLE, GA 310613106

    Phone: (478) 445-1787

    Fax: (478) 445-1790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230524000047IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities831100$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes63897$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes62089$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care10020$0
97140Therapy procedure using manual technique, each 15 minutes6912$0
View full utilization report →

Insurance plans in this area (ZIP 31093)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769467034View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What is the standard ID for MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT) in the U.S.?
In the U.S., MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT) is identified by NPI 1306365895.
Does the public listing show MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT) as active?
MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT)'s NPI record reflects an active status in NPPES.
What does the directory say MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT) does?
Insurance directories may phrase it differently, but here MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT)?
The directory associates MR. LARRY DAVID III YOUNGBLOOD (PT, DPT, ATC, LAT) with Warner Robins, Georgia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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