George Jay Wilson, MSPT

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

022387-1 Issued in NY

Practice address

8 Cedar CT
East Hampton, NY 11937-2246

Phone

(631) 903-7996

NPI assigned

Apr 28, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Boston University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Latitude Physical TherapyGroup PAC ID 7810340296, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Latitude Physical Therapy

  • Physical Therapist
  • Sag Harbor, NY
  • NPI 1326816992

  Sports

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1942591672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CEDAR CT",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372246",
            "telephone_number": "631-903-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CEDAR CT",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119372246",
            "telephone_number": "631-903-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "GEORGE",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "022387-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Lynn Weaver, OTR
• Christine Rossman Weinberg
• Kathleen Weiss, RN
• Laura Guilford White, PSY D
• Whites Pharmacy Inc
• Tara Frances Wilson
• Windmill Medical PC
• Megan Wright, NP
• Gerald Robert Yagoda, PH.D.
• Svetlana Yudovich

• Sports Physical Therapist in East Hampton, NY
• Providers in East Hampton, NY by specialty
• Sports Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; 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.