Active NPI
Rachel Georgeson, PHYSICAL THERAPIST
- Orthopedic Physical Therapist
- Mammoth Lakes, CA
National Provider Identifier
1831231703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT25807
- Practice address
- 85 Sierra Park Rd
Mammoth Lakes, CA 93546-0660 - Phone
- (760) 934-7302
- Fax
- (760) 934-1779
- NPI assigned
- Feb 13, 2007
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT25807 | CA | |
| Cardiopulmonary Physical Therapist | 2251C2600X | PT25807 | CA | |
| Ergonomics Physical Therapist | 2251E1200X | PT25807 | CA | |
| Geriatric Physical Therapist | 2251G0304X | PT25807 | CA | |
| Neurology Physical Therapist | 2251N0400X | PT25807 | CA | |
| Pediatric Physical Therapist | 2251P0200X | PT25807 | CA | |
| Sports Physical Therapist | 2251S0007X | PT25807 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | PT25807 | CA | Primary |
| Hand Occupational Therapist | 225XH1200X | PT25807 | CA |
Addresses
Primary practice location
85 Sierra Park Rd
Mammoth Lakes, CA 93546-0660
Mailing address
PO Box 660
85 Sierra Park Rd
Mammoth Lakes, CA 93546-0660
Phone (760) 934-7302
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT25807 | CA | MD | Neurology Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1831231703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660",
"address_2": "85 SIERRA PARK RD",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "935460660",
"telephone_number": "760-934-7302",
"fax_number": "760-934-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SIERRA PARK RD",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "935460660",
"telephone_number": "760-934-7302",
"fax_number": "760-934-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGESON",
"first_name": "RACHEL",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT25807",
"primary": false
},
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "CA",
"license": "PT25807",
"primary": false
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "CA",
"license": "PT25807",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CA",
"license": "PT25807",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "CA",
"license": "PT25807",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CA",
"license": "PT25807",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "PT25807",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT25807",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "PT25807",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mammoth Lakes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.