Active NPI
George Louis Radnothy, PT
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1558309286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1245
- Practice address
- 6552 E Carondelet Dr
Tucson, AZ 85710 - Phone
- (520) 885-2263
- Fax
- (520) 731-1713
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | 1245 | AZ | Primary |
Addresses
Primary practice location
6552 E Carondelet Dr
Tucson, AZ 85710
Mailing address
9221 E Baseline Rd Ste A109-617
Mesa, AZ 85209-8379
Phone (520) 885-2263
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 531633 | Medicaid | AZ | |
| AZ0292080 | Other | AZ | BCBS |
| 188967900 | Other | ACS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051010000943 | AZ | Practitioner - Physical Therapist in Private Practice | 1951326842 | Practice locations: Tucson, AZ |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6510 E Carondelet Dr
Tucson, AZ 85710-2168
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1245 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George L Radnothy PT | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Tucson, AZ
- NPI 1497950414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1558309286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9221 E BASELINE RD STE A109-617",
"city": "MESA",
"state": "AZ",
"postal_code": "852098379",
"telephone_number": "520-885-2263",
"fax_number": "480-357-4639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6552 E CARONDELET DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85710",
"telephone_number": "520-885-2263",
"fax_number": "520-731-1713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADNOTHY",
"first_name": "GEORGE",
"middle_name": "LOUIS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "1245",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "531633",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0292080",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS",
"identifier": "188967900",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.