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NPISignal

Individual Healthcare Provider

Richard J Mckibben, PT, DSC, ECS

NPI Record: ActivePhysical Therapist — Electrophysiology, Clinical
NPI1407949134
Kingsland, Georgia

Provider's NPPES record last updated: June 4, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1407949134
Primary Specialty
Physical Therapist — Electrophysiology, Clinical
Practice Location
Kingsland, Georgia
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 3:07 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physical Therapist

    Electrophysiology, Clinical

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    Primary

    A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.

    Taxonomy code 2251E1300X
  • Physical Therapist

    Respiratory, Developmental, Rehabilitative and Restorative Service Providers

    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: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.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.

    Taxonomy code 225100000X

Provider-Reported License Information

Physical Therapist (Georgia)
PT004832
Physical Therapist (Pennsylvania)
PT032925
Physical Therapist (Georgia)
PT004832
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

100 a Lindsey Lane

Kingsland, Georgia 31548-0000

Phone: (912) 729-1333

Additional Practice Location

140 Johnny Mercer Blvd Ste 10a

Savannah, Georgia 31410-2169

Phone: (470) 809-1581

Fax: (470) 809-1582

Additional Practice Location

840 Pine St Ste 880

Macon, Georgia 31201-7525

Phone: (470) 809-1581

Fax: (470) 809-1582

Additional Practice Location

6330 Primrose Hill Ct Ste 201

Norcross, Georgia 30092-4544

Phone: (470) 809-1581

Fax: (470) 809-1582

Additional Practice Location

1000 Hillcrest Pkwy

Dublin, Georgia 31021-4208

Phone: (470) 809-1581

Fax: (470) 809-1582

Additional Practice Location

371 Noah Dr Ste 102

Jasper, Georgia 30143-8708

Phone: (470) 809-1581

Fax: (470) 809-1582

Additional Practice Location

165 N Park Trl Ste 100

Stockbridge, Georgia 30281-6509

Phone: (470) 809-1581

Fax: (470) 809-1582

Additional Practice Location

4216 Washington Rd Ste 2

Evans, Georgia 30809-4717

Phone: (470) 809-1581

Fax: (470) 809-1582

Record Information

Enumeration Date
October 2, 2006
Provider's NPPES Record Last Updated
June 4, 2026
Certification Date
June 4, 2026
NPISignal NPPES Dataset
August 2026

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