Jennifer Adele St. George, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016524 Issued in PA

Practice address

1001 Easton Rd
101 Manor
Willow Grove, PA 19090-2028

Phone

(215) 659-7759

Fax

(215) 659-6658

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  PA

  Medicare reassignment Care Compare group NPD
• Willow Grove Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Willow Grove, PA
  • NPI 1083659783

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063629442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 CREEKSIDE DR",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189642265",
            "telephone_number": "267-382-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 EASTON RD",
            "address_2": "101 MANOR",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190902028",
            "telephone_number": "215-659-7759",
            "fax_number": "215-659-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. GEORGE",
        "first_name": "JENNIFER",
        "middle_name": "ADELE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Angelita Solis
• Rui Song, MD
• Sound Advice Consultants
• Specialty Dental Partners of Philadelphia PLLC (Rich Ortodontics)
• Brianne Spellman
• John M Stack, MD
• Eleanor Irene Stanford, CRNA
• Karen Starner, L.M.F.T.
• Rachel Ann Steen, MS
• Raluca Stefanescu-Sturz, MD

• Physical Therapist in Willow Grove, PA
• Providers in Willow Grove, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.