Active NPI
Brittany M George, DPT
- Physical Therapist
- Avondale, AZ
National Provider Identifier
1235794686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-30586
- Practice address
- 350 E la Canada Blvd
Avondale, AZ 85323-1643 - Phone
- (623) 932-2282
- NPI assigned
- May 1, 2019
- Last updated
- Dec 10, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-30586 | AZ | Primary |
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Middleburg, VA
- NPI 1427034982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1235794686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 PUMPING STATION RD",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173257174",
"telephone_number": "717-253-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E LA CANADA BLVD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853231643",
"telephone_number": "623-932-2282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "BRITTANY",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-01",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-30586",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "24173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.