George M Fatula Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009793L Issued in PA

Practice address

127 N Brady St
Du Bois, PA 15801-2227

Phone

(814) 375-9615

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Luna Care Physical Therapy LLCGroup PAC ID 0648692723, 271 clinicians

Proactive Physical Therapy Centers, PLLCGroup PAC ID 8022926492, 9 clinicians

Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baylor College of Medicine

  • Ph.D. Medical Genetics
  • Houston, TX
  • NPI 1881026664
  Medicare reassignment Care Compare group NPD
• Proactive Physical Therapy Centers, PLLC

  • Physical Therapist
  • Pearland, TX
  • NPI 1851454326
  Medicare reassignment Care Compare group NPD
• Texas Luna Care Physical Therapy LLC

  • Physical Therapist
  • Southlake, TX
  • NPI 1790309656
  Medicare reassignment Care Compare group NPD
• Baylor College of Medicine

  • Orthopaedic Surgery Physician
  • Sugar Land, TX
  • NPI 1700683844
  NPD
• Interim Healthcare of Western Pennsylvania Inc

  • Home Health Agency
  • Du Bois, PA
  • NPI 1417940487
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407073455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 DON ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013448",
            "telephone_number": "814-375-8799",
            "fax_number": "814-375-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N BRADY ST",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012227",
            "telephone_number": "814-375-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATULA",
        "first_name": "GEORGE",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009793L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devin James Ewing, DNAP, CRNA
• John A Fabre, MD
• Kathryn Elizabeth Fair, BSC
• Fatula Family Eye Care PLLC
• Daniel Remo Fatula, O.D.
• Sonya Federici, B.A.
• Jennifer Feldbauer, CRNP
• Michael D Felix, MD
• Lisa A. Ferrill, CNM
• Zeke David Feyock

• Physical Therapist in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.