Individual provider Active NPI

George Alan Summers, MPT

  • Physical Therapist
  • North Richland Hills, TX
National Provider Identifier
1821025248
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1338368 Issued in TX
Practice address
8412 Davis Blvd Ste 190
North Richland Hills, TX 76182-8679
Phone
(817) 479-7168
Fax
(330) 479-3498
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 PT6697 OH
Physical Therapist 225100000X 1338368 TX Primary

Addresses

Primary practice location

8412 Davis Blvd Ste 190
North Richland Hills, TX 76182-8679

Mailing address

8412 Davis Blvd Ste 190
North Richland Hills, TX 76182-8679
Phone (817) 479-7168

Other practice location 1

12515 Business Highway 287 N Ste 101
Fort Worth, TX 76179-9445
Phone (817) 479-7168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210318000096 TX Practitioner - Physical Therapist in Private Practice 5294642054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2228 Galloway Blvd
Roanoke, TX 76262-5493
Phone (817) 479-7168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT6697OHMDPhysical Therapist
1338368TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Heart Group, Inc CurrentSince Feb 1, 2016 Accepting new patients
Texas Specialty Physical Therapy Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Excel Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Excel Physical Therapy Inc Physical Therapist PastSince Aug 19, 2002 Accepting new patients
Total Health & Wellness Centers, Inc Past Accepting new patients

Locations

2565 S Union Ave
Alliance, OH 44601
Phone (330) 821-4455

12515 Business Highway 287 N
Ste 101
Fort Worth, TX 76179
Phone (817) 479-7168

8412 Davis Blvd
Ste 190
North Richlnd Hls, TX 76182
Phone (817) 479-7168

Organizations & group practices 5

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1821025248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8412 DAVIS BLVD STE 190",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828679",
            "telephone_number": "817-479-7168",
            "fax_number": "817-479-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8412 DAVIS BLVD STE 190",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828679",
            "telephone_number": "817-479-7168",
            "fax_number": "330-479-3498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12515 Business Highway 287 N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761799445",
            "country_code": "US",
            "telephone_number": "817-479-7168",
            "fax_number": "817-479-3498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "GEORGE",
        "middle_name": "ALAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT6697",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1338368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.