Brittany M George, DPT
Individual provider Active NPI Physical Therapist · Avondale, AZ
NPI 1235794686 · NPPES record last updated Dec 10, 2020
Key facts
- NPI
- 1235794686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- LPT-30586 (AZ)
- Practice address
- 350 E la Canada Blvd
Avondale, AZ 85323-1643 - Phone
- (623) 932-2282
- NPI assigned
- May 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-30586 | AZ | MD | Physical Therapist |
| 24173 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Jackson Clinics LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-30586 | AZ | Yes |
| Physical Therapist | 225100000X | 24173 | MA |
Addresses
Primary practice location
350 E la Canada Blvd
Avondale, AZ 85323-1643
Mailing address
401 Pumping Station Rd
Gettysburg, PA 17325-7174
Phone (717) 253-0628
Other providers in Avondale, AZ
- Lianna Gebru
- Meaghan Geiger
- Emily Claire Gelander
- Genesis New Beginnings L.L.C.
- Genoa Healthcare LLC
- Keshai George
- Whitney Elaine George
- Geps Physician Group of Pennsylvania, PC
- German Dobson CVS LLC
- Kristina Gerth
All providers in Avondale, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.