Individual provider Active NPI

Jeena George, PT, DPT

  • Physical Therapist
  • Waxahachie, TX
National Provider Identifier
1053014100
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1401418 Issued in TX
Practice address
1434 W US Highway 287 Byp Ste 200
Waxahachie, TX 75165-5007
Phone
(469) 553-1011
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070027104 IL
Physical Therapist 225100000X 1401418 TX Primary

Addresses

Primary practice location

1434 W US Highway 287 Byp Ste 200
Waxahachie, TX 75165-5007

Mailing address

5936 Main St
Morton Grove, IL 60053-3365
Phone (847) 440-6570

Other practice location 1

800 Devon Ave Unit B
Park Ridge, IL 60068-4760
Phone (847) 292-4710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230504001577 IL Practitioner - Physical Therapist in Private Practice 9931564549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1401418TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
Sports and Ortho P.C CurrentSince Jun 17, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
Bir JV LLP PastSince Dec 8, 2024 Accepting new patients

Locations

412 W 31st St
Chicago, IL 60616
Phone (312) 225-3119

7258 N Harlem Ave
Chicago, IL 60631
Phone (773) 657-3897

2747 Pfingsten Rd
Glenview, IL 60026
Phone (224) 282-8133

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

800 W Devon Ave
Park Ridge, IL 60068
Phone (847) 292-4710

800 Devon Ave
Unit B
Park Ridge, IL 60068
Phone (847) 292-4710

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1053014100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5936 MAIN ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533365",
            "telephone_number": "847-440-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 W US HIGHWAY 287 BYP STE 200",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655007",
            "telephone_number": "469-553-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Devon Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600684760",
            "country_code": "US",
            "telephone_number": "847-292-4710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "JEENA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070027104",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1401418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.