Active NPI
Judson George, OTR/L
- Occupational Therapist
- Valdosta, GA
National Provider Identifier
1669196473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008233
- Practice address
- 200 W Moore St
Valdosta, GA 31602-2919 - Phone
- (229) 253-8500
- Fax
- (229) 253-8522
- NPI assigned
- Sep 27, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT008233 | GA | Primary |
Addresses
Primary practice location
200 W Moore St
Valdosta, GA 31602-2919
Mailing address
200 W Moore St
Valdosta, GA 31602-2919
Phone (229) 253-8500
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 |
|---|---|---|---|
| OT008233 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Rehabilitation Inc. | Occupational Therapist | Current | Accepting new patients |
Locations
320 N Crawford St
Thomasville, GA 31792
Phone (229) 236-0260
111 12th St E
Tifton, GA 31794
Phone (229) 652-5650
200 W Moore St
Valdosta, GA 31602
Phone (229) 253-8500
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.
-
- Occupational Therapist
- Valdosta, GA
- NPI 1093868788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1669196473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W MOORE ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022919",
"telephone_number": "229-253-8500",
"fax_number": "229-253-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W MOORE ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022919",
"telephone_number": "229-253-8500",
"fax_number": "229-253-8522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "JUDSON",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT008233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.