Carey Michelle Georgelis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A03555 Issued in KY

Practice address

920 S 4TH St
Louisville, KY 40203-3296

Phone

(877) 787-3422

NPI assigned

May 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1699465633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 CROCKETT DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583122",
            "telephone_number": "502-489-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402033296",
            "telephone_number": "877-787-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGELIS",
        "first_name": "CAREY",
        "middle_name": "MICHELLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06005463A",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A03555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reenu Elizebath George, M.S, BCBA, LBA
• Renu Bijoy George, APRN
• Salem Michael George Jr., MD
• Sarah E George, APRN
• Aaron D Georgel, P.A.
• Susan Gephart, BSW
• Connor Michael Gerace
• Kali Svarczkopf Gerace, M.D.
• Tanya S Geraci, APRN
• Jenna Geraghty-Smith

• Physical Therapy Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.