Individual provider Active NPI

Steven George

  • Physical Therapist
  • Eatontown, NJ
National Provider Identifier
1255855458
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT026250 Issued in PA
Practice address
145 Wyckoff Rd Ste 102
Eatontown, NJ 07724-1879
Phone
(848) 208-2721
NPI assigned
Jul 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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 PT026250 PA Primary

Addresses

Primary practice location

145 Wyckoff Rd Ste 102
Eatontown, NJ 07724-1879

Mailing address

1033 Essex Dr.
Bensalem, PA 19020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821000025 NJ Practitioner - Physical Therapist in Private Practice 3779832092 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Star Physical Therapy and Wellness LLCGroup PAC ID 4688824816, 8 clinicians

Practice addresses (Care Compare)

145 Wyckoff Rd
Suite 102
Eatontown, NJ 07724-1879
Phone (732) 272-1438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT026250PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rekinective Physio LLC Physical Therapist Current Accepting new patients
Pearl Rehabilitation LLC CurrentSince Jan 1, 2021 Accepting new patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Jul 9, 2020 Accepting new patients
Healing Star Physical Therapy and Wellness LLC Physical Therapist CurrentSince Jul 26, 2018 Accepting new patients
Parker Creek Neurorehabilitation PastSince Jan 1, 2021 Accepting new patients
Rehabclinics Galaxy Inc Past Accepting new patients

Locations

145 Wyckoff Rd
Ste 102
Eatontown, NJ 07724
Phone (732) 578-0311

198 Brighton Ave
Long Branch, NJ 07740
Phone (732) 272-1438

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

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": "1501286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1255855458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 ESSEX DR.",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "19020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WYCKOFF RD STE 102",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241879",
            "telephone_number": "848-208-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-29",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.