Active NPI
Georgia Anne Hastings, PT ASST
- Physical Therapy Assistant
- Ulster Park, NY
National Provider Identifier
1295034916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 000725-1
- Practice address
- 10 House LN
Ulster Park, NY 12487-5417 - Phone
- (845) 339-0014
- Fax
- (845) 339-9601
- NPI assigned
- Mar 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 000725-1 | NY | Primary |
Addresses
Primary practice location
10 House LN
Ulster Park, NY 12487-5417
Mailing address
10 House LN
Ulster Park, NY 12487-5417
Phone (845) 339-0014
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000725-1 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1295034916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HOUSE LN",
"city": "ULSTER PARK",
"state": "NY",
"postal_code": "124875417",
"telephone_number": "845-339-0014",
"fax_number": "945-339-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HOUSE LN",
"city": "ULSTER PARK",
"state": "NY",
"postal_code": "124875417",
"telephone_number": "845-339-0014",
"fax_number": "845-339-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "GEORGIA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "PT ASST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-21",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NY",
"license": "000725-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ulster Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.