Rick Edward St. George

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1839 Issued in NC

Legal business name

RICK EDWARD ST. GEORGE

Doing business as

St George Physical Therapy

Practice address

1809 East Blvd
Ste. 100
Charlotte, NC 28203-5914

Phone

(704) 374-1811

Fax

(704) 335-9958

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rick Edward St George, PT, OCSNPI 1588621635

Title

Owner

Phone

(704) 374-1811

Specialties & licenses 1

Addresses

Other names 1

• St George Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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

• Rick E St George, PT, OCS

  • Physical Therapist
  • Charlotte, NC
  • NPI 1588621635
  Medicare reassignment NPD Authorized official
• Molly Elizabeth Grimm, DPT

  • Orthopedic Physical Therapist
  • Charlotte, NC
  • NPI 1043566680
  NPD
• Ryan P Minick, MPT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1730146812
  NPD (past)
• Bethany Sealy, PT, DPT, CLT

  • Physical Therapist
  • Charlotte, NC
  • NPI 1740761527
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952406191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 EAST BLVD",
            "address_2": "STE. 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035914",
            "telephone_number": "704-374-1811",
            "fax_number": "704-335-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 EAST BLVD",
            "address_2": "STE. 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035914",
            "telephone_number": "704-374-1811",
            "fax_number": "704-335-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK EDWARD ST. GEORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ST GEORGE",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-374-1811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "1839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St George Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tami Marie Richmond
• Joshua David Richter, MD
• Stephanie Rozier Richter, M.D.
• Alexandra Richwalski
• Kristin Nicole Richwine, O.D.
• Hannah Rickard, NP
• Kameron Rickard
• Christina Jane Ricker
• Kara Ricker
• Kaitlan Leigh Rickett, PA

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.