Individual provider Active NPI

Thomas Anthony George, MS RPT

  • Orthopedic Physical Therapist
  • Westport, CT
National Provider Identifier
1497858633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
003419 Issued in CT
Practice address
185 Main St
Westport, CT 06880-3204
Phone
(203) 454-4438
Fax
(203) 454-0459
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 003419 CT Primary

Addresses

Primary practice location

185 Main St
Westport, CT 06880-3204

Mailing address

185 Main St
Westport, CT 06880-3204
Phone (203) 454-4438

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050509000438 CT Practitioner - Physical Therapist in Private Practice 9032159132

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

185 Main St
Westport, CT 06880-3211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3419CTMDMarriage & Family Therapist
003419CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Westport Physical Therapy PC Orthopedic CurrentSince Jun 1, 2002 Accepting new patients

Locations

185 Main St
Westport, CT 06880
Phone (203) 454-4438

Organizations & group practices 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497858633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MAIN ST",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803204",
            "telephone_number": "203-454-4438",
            "fax_number": "203-454-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MAIN ST",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803204",
            "telephone_number": "203-454-4438",
            "fax_number": "203-454-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MS RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "003419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • 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.