Individual provider Active NPI

Judson George, OTR/L

  • Occupational Therapist
  • Valdosta, GA
National Provider Identifier
1669196473
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008233 Issued in GA
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

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT008233GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Rehabilitation Inc. Occupational Therapist CurrentSince Oct 2, 2022 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.

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.

Verify at the official NPI Registry.