Individual provider Active NPI

George Alexander Tate, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1255815833
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11330 Maple Brook Dr
Louisville, KY 40241-2080
Phone
(502) 426-2221
Fax
(502) 426-2210
NPI assigned
Sep 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

11330 Maple Brook Dr
Louisville, KY 40241-2080

Mailing address

3810 Zaring Mill Cir
Louisville, KY 40241-3052
Phone (502) 845-0005

Other practice location 1

151 E Broadway St Ste B
Eminence, KY 40019-1149
Phone (502) 845-0005

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

Practice roles

OrganizationSpecialtyStatusNew patients
PT Pros, Inc. Physical Therapist Past Accepting new patients
PT Pros, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1255815833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 ZARING MILL CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413052",
            "telephone_number": "502-845-0005",
            "fax_number": "502-845-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 MAPLE BROOK DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412080",
            "telephone_number": "502-426-2221",
            "fax_number": "502-426-2210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 E Broadway St Ste B",
            "address_purpose": "LOCATION",
            "city": "Eminence",
            "state": "KY",
            "postal_code": "400191149",
            "country_code": "US",
            "telephone_number": "502-845-0005",
            "fax_number": "502-845-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "GEORGE",
        "middle_name": "ALEXANDER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-20",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.