Individual provider Active NPI

George James, PT, DPT, OCS

  • Physical Therapist
  • Redlands, CA
National Provider Identifier
1114948767
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 30357 Issued in CA
Practice address
414 Tennessee St Ste F
Redlands, CA 92373
Phone
(909) 792-5050
Fax
(909) 792-5051
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
HomeopathGroup: 193200000X MULTI-SPECIALTY GROUP 175L00000X
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X PT30357 CA
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X PT30357 CA
Physical Therapist 225100000X PT 30357 CA Primary

Addresses

Primary practice location

414 Tennessee St Ste F
Redlands, CA 92373

Mailing address

414 Tennessee St Ste F
Redlands, CA 92373-8152
Phone (909) 792-5050

Other names 1

  • Dr. James George Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120113000775 CA Practitioner - Physical Therapist in Private Practice 5294778908 Reassigns benefits to 1 organization
Practice locations: Redlands, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Excel Physical Therapy and Wellness PCGroup PAC ID 8022407501, 2 clinicians

Practice addresses (Care Compare)

414 Tennessee St
Suite F
Redlands, CA 92373-8152
Phone (909) 792-5050

414 Tennessee St F
Redlands, CA 92373-8152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT30357CAMDLicensed Psychiatric Technician
PT 30357CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Physical Therapy & Wellness PC Multi-Specialty CurrentSince Jul 7, 2021 Accepting new patients
Forgeron Physical Therapy Physical Therapist Past Accepting new patients
Elite Physical Therapy and Wellness, Inc. Physical Therapist PastSince Aug 19, 2019 Accepting new patients
Excel Physical Therapy and Wellness Past Accepting new patients
Forgeron Physical Therapy Multi-Specialty Past Accepting new patients
All Star Physical Therapy Multi-Specialty PastSince Jan 16, 2025 Accepting new patients

Locations

414 Tennessee St
Ste F
Redlands, CA 92373
Phone (909) 792-5050

Organizations & group practices 6

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1114948767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 TENNESSEE ST STE F",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738152",
            "telephone_number": "909-792-5050",
            "fax_number": "909-792-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 TENNESSEE ST STE F",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-792-5050",
            "fax_number": "909-792-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homeopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT30357",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT30357",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 30357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "GEORGE",
            "prefix": "DR.",
            "credential": "PT, DPT, OCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.