Tina Degeorge Physical Therapist, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TINA DEGEORGE PHYSICAL THERAPIST, PLLC

Practice address

4360 Autumn TRL
Clarence, NY 14031-2301

Phone

(716) 698-2428

Fax

(716) 698-2428

NPI assigned

Sep 30, 2025

Organization subpart

No

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

Authorized official

Name

Tina Marie Degeorge, MSPTNPI 1144282385

Title

Physical Therapist

Phone

(716) 698-2428

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tina Marie Degeorge, MSPT

  • Physical Therapist
  • Kenmore, NY
  • NPI 1144282385
  NPD Authorized official

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1801760145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 AUTUMN TRL",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312301",
            "telephone_number": "716-698-2428",
            "fax_number": "716-698-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 AUTUMN TRL",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140312301",
            "telephone_number": "716-698-2428",
            "fax_number": "716-698-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA DEGEORGE PHYSICAL THERAPIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "DEGEORGE",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "716-698-2428",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard M Sullivan, LCSW-R
• Christina Nichole Summerville, P.T.
• Nicole Marie Swiatek, PT
• Telerad of Ny Account Management
• Sandra Maria Ticen, MS, LCAT, CAS
• Margaret M Tirado, OTR
• Carmine L Tiso, DDS
• Joann Vattimo
• Melissa Anne Verdi, MS, RDN, CDN, CDCES
• Wal-Mart Stores East LP

• All providers in Clarence, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.