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

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
LPT-30586AZMDPhysical Therapist
24173MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Jackson Clinics LLC Physical Therapist Past
since Dec 2, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in Avondale, AZ · Physical Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.