NPPES file of Aug 9, 2026

Richard J. McKibben, PT, DSC, ECS

Clinical Electrophysiology Physical Therapist · Kingsland, GA

Richard J. McKibben, PT, DSC, ECS is a clinical electrophysiology physical therapist with a practice address in Kingsland, Georgia, and NPI 1407949134, issued on Oct 2, 2006. Check the license (Georgia PT004832, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1407949134
Name
Richard J. McKibben
Credential
PT, DSC, ECS
Primary taxonomy
Clinical Electrophysiology Physical Therapist 2251E1300X
License numbers
PT004832 GA
PT032925 PA
Self-reported in NPPES; status is on the state search
Practice location
100 A Lindsey Lane, Kingsland, GA 31548
Phone
(912) 729-1333
Enumerated
Oct 2, 2006
Record last updated
Jun 4, 2026
Fax
(912) 729-5259
Medicaid ID
818354932J GA
Medicare enrollment
Enrolled (PECOS I20250804002157); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 100 A Lindsey Lane

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. William Jones, PTAPhysical Therapy Assistant1922334135
  2. Samantha Liddy, ATCAthletic Trainer1366753733
  3. Marsha Shackelford, PTPhysical Therapist1417197849

Verify Richard J. McKibben in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license PT004832
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

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Bills Medicare through 3 group practices

  1. Griffin Imaging, LLCGriffin, GA
  2. Macon Orthopaedic And Hand Center, PAMacon, GA
  3. Metro Orthopedic Physical Therapy, Inc.Bradford, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Clinical Electrophysiology Physical Therapist providers in Georgia

There are 18 clinical electrophysiology physical therapist records in Georgia.

Other clinical electrophysiology physical therapist records in Georgia

  1. Junghwan Bang, PHYSICAL THERAPISTMacon, GA1811536246
  2. Justin Brown, PTAColumbus, GA1184236259
  3. Eric Bull, PT,DSC.,MPT,MMT,OCSRincon, GA1043278526
  4. Timothy Clemmons, PTColumbus, GA1134382146
  5. Jeffrey Fraser, P.T.Columbus, GA1356398622
  6. Neil Haltom, PT, DPTEvans, GA1306493812
  7. Ephriam Hamm, RPT, ECSColumbus, GA1104902998
  8. Shawn Humphries, MPTJackson, GA1609873454
  9. Emily Kell, PT, ECSMacon, GA1255636478
  10. Linda King, PT, ECS, CHTValdosta, GA1790776201

Common questions

What is Richard J. McKibben, PT, DSC, ECS's NPI number?

Richard J. McKibben, PT, DSC, ECS's National Provider Identifier (NPI) is 1407949134, issued on Oct 2, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Richard J. McKibben, PT, DSC, ECS located?

The NPPES record lists a practice address at 100 A Lindsey Lane, Kingsland, GA, 31548. Phone: (912) 729-1333. Providers update this record themselves, so call before visiting.

How can I verify Richard J. McKibben, PT, DSC, ECS's license?

NPPES lists Georgia license number PT004832, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.