Georgetown Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1220578 Issued in TX

Legal business name

GEORGETOWN PHYSICAL THERAPY, LLC

Practice address

3613 Williams Dr
Suite 1004
Georgetown, TX 78628-1377

Phone

(512) 966-0150

NPI assigned

Aug 6, 2014

Last updated

Aug 6, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Teresa Poindexter, PT

Title

Owner

Phone

(512) 966-0150

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie L. Krog, DOCTORATE

  • Physical Therapist
  • Georgetown, TX
  • NPI 1154803625
  NPD (past)
• Lynn Russell Lidell, D.C.

  • Chiropractor
  • Georgetown, TX
  • NPI 1922008127
  NPD (past)

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1083023782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 COUNTY ROAD 152",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786261982",
            "telephone_number": "512-966-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 WILLIAMS DR",
            "address_2": "SUITE 1004",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281377",
            "telephone_number": "512-966-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "POINDEXTER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-966-0150",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1220578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgetown OB GYN LLP
• Georgetown Optical Center LLC (Pearle Vision)
• Georgetown Orthodontics PLLC
• Georgetown Orthopedics
• Georgetown Pediatric Dentistry, LLC (Cove Pediatric Dentistry & Orthodontics)
• Georgetown Professional Massage and Wellness LLC
• Georgetown Psychological Services PLLC
• Georgetown Pulmonary Associates, P.a.
• Georgetown Radiation Oncology PLLC
• Georgetown Radiology Associates, PLLC.

• Physical Therapy Clinic/Center in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.