Individual provider Active NPI

Elaine George

  • Physical Therapist
  • Shenandoah, TX
National Provider Identifier
1780218388
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1193453 Issued in TX
Practice address
9180 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3899
Phone
(713) 897-2549
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34142 CA
Physical Therapist 225100000X 1193453 TX Primary

Addresses

Primary practice location

9180 Pinecroft Dr Ste 200
Shenandoah, TX 77380-3899

Mailing address

106 Amber Leigh PL
Spring, TX 77382-5707
Phone (831) 345-7222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Elaine.George@memorialhermann.org

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
PT34142CAMDPhysical Therapist
1193453TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Health System PastSince Mar 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elaine.george@memorialhermann.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1780218388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 AMBER LEIGH PL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773825707",
            "telephone_number": "831-345-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 PINECROFT DR STE 200",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803899",
            "telephone_number": "713-897-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "ELAINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34142",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1193453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Elaine.George@memorialhermann.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "9180 Pinecroft Dr Ste 200",
            "city": "Shenandoah",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773803899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; 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.