Individual provider Active NPI

Hannah Jo George, DPT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1972223204
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64670 Issued in OR
Practice address
2753 NW Lolo Dr
Bend, OR 97703-7288
Phone
(541) 728-3412
NPI assigned
Aug 29, 2022
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 64670 OR Primary

Addresses

Primary practice location

2753 NW Lolo Dr
Bend, OR 97703-7288

Mailing address

1473 SW Canyon Dr
Redmond, OR 97756-2935
Phone (541) 408-2084

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221027001427 OR Practitioner - Physical Therapist in Private Practice 0446627855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Low Five Productions LLCGroup PAC ID 0840551784, 4 clinicians

Practice addresses (Care Compare)

2783 NW Lolo Dr
Suite 120
Bend, OR 97703-7113
Phone (541) 728-3412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64670ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Low Five Productions, LLC Physical Therapist CurrentSince Sep 15, 2022 Accepting new patients

Locations

2753 NW Lolo Dr
Bend, OR 97703
Phone (541) 585-2529

2783 NW Lolo Dr
Ste 120
Bend, OR 97703

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1972223204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 SW CANYON DR",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562935",
            "telephone_number": "541-408-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 NW LOLO DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037288",
            "telephone_number": "541-728-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "HANNAH",
        "middle_name": "JO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.