Individual provider Active NPI

George Rear, PT, DPT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1063138832
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64668 Issued in OR
Practice address
4005 Wallingford Ave N
Seattle, WA 98103-8218
Phone
(206) 829-8269
Fax
(206) 829-8594
NPI assigned
Oct 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 64668 OR Primary

Addresses

Primary practice location

4005 Wallingford Ave N
Seattle, WA 98103-8218

Mailing address

4005 Wallingford Ave N
Seattle, WA 98103-8218
Phone (206) 829-8269

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Seattle Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402003802 OR Practitioner - Physical Therapist in Private Practice 2567800121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staszak Physical TherapyGroup PAC ID 1951581750, 7 clinicians

Practice addresses (Care Compare)

488 E 11TH Ave
Suite 150a
Eugene, OR 97401-3601
Phone (541) 505-8180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64668ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Staszak Physical Therapy Physical Therapist CurrentSince Feb 15, 2024 Accepting new patients
Biojunction Sports Therapy, PLLC Physical Therapist CurrentSince Oct 16, 2022 Accepting new patients

Locations

488 E 11th Ave
Ste 150A
Eugene, OR 97401
Phone (541) 505-8180

4005 Wallingford Ave N
Seattle, WA 98103
Phone (206) 632-0542

Organizations & group practices 2

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": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1063138832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 WALLINGFORD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038218",
            "telephone_number": "206-829-8269",
            "fax_number": "206-829-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 WALLINGFORD AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038218",
            "telephone_number": "206-829-8269",
            "fax_number": "206-829-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAR",
        "first_name": "GEORGE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Seattle",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4005 Wallingford Ave N",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981038218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.