Individual provider Active NPI

Thomas George

  • Physical Therapy Assistant
  • Barrington, IL
National Provider Identifier
1467097469
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160.00338 Issued in IL
Practice address
1420 S Barrington Rd
Barrington, IL 60010-5206
Phone
(847) 382-6664
NPI assigned
Nov 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160.00338 IL Primary

Addresses

Primary practice location

1420 S Barrington Rd
Barrington, IL 60010-5206

Mailing address

715 S Chris LN
Mount Prospect, IL 60056-3515
Phone (847) 630-3914

Other practice location 1

1420 S Barrington Rd
Barrington, IL 60010-5206
Phone (847) 382-6664

Other practice location 2

1420 S Barrington Rd
Barrington, IL 60010-5206
Phone (847) 382-6664

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

LicenseStateTypeSpecialty
160.00338ILMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1467097469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 S CHRIS LN",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563515",
            "telephone_number": "847-630-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S BARRINGTON RD",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105206",
            "telephone_number": "847-382-6664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 S Barrington Rd",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600105206",
            "country_code": "US",
            "telephone_number": "847-382-6664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 S Barrington Rd",
            "address_purpose": "LOCATION",
            "city": "Barrington",
            "state": "IL",
            "postal_code": "600105206",
            "country_code": "US",
            "telephone_number": "847-382-6664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.00338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.