Individual provider Active NPI

Georgine Todd, PT

  • Physical Therapist
  • Stroudsburg, PA
National Provider Identifier
1073656161
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013394L Issued in PA
Practice address
RR 3 Box 3302B
Stroudsburg, PA 18360-9346
Phone
(570) 629-4921
Fax
(570) 629-9221
NPI assigned
Feb 15, 2007
Last updated
Nov 4, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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 PT013394L PA Primary

Addresses

Primary practice location

RR 3 Box 3302B
Stroudsburg, PA 18360-9346

Mailing address

PO Box 221
Reeders, PA 18352-0221
Phone (570) 629-4921

Other names 1

  • Georgine Peffley Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230228000885 FL Practitioner - Physical Therapist in Private Practice 1951363035 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Punta Gorda Physical Therapy Physical Therapist CurrentSince Jan 14, 2025 Accepting new patients
Physical Therapy Doctors LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Your Body Physical Therapy, LLC Physical Therapist CurrentSince Jan 24, 2023 Accepting new patients
Edge Physical Therapy Physical Therapist PastSince Jan 24, 2023 Accepting new patients

Locations

3976 Destination Dr
Unit 206
Osprey, FL 34229
Phone (941) 966-1227

2905 Tamiami Trl
Punta Gorda, FL 33950
Phone (941) 205-2180

900 Tamiami Trl
Unit 111
Punta Gorda, FL 33950
Phone (941) 286-6068

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1073656161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221",
            "city": "REEDERS",
            "state": "PA",
            "postal_code": "183520221",
            "telephone_number": "570-629-4921",
            "fax_number": "570-629-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 3 BOX 3302B",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609346",
            "telephone_number": "570-629-4921",
            "fax_number": "570-629-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "GEORGINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013394L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGINE",
            "last_name": "PEFFLEY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.