Active NPI
Todd Wilson George, M.P.T.
- Physical Therapist
- Arkadelphia, AR
National Provider Identifier
1982685723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 909
- Practice address
- 3030 Pine St
Arkadelphia, AR 71923-5325 - Phone
- (870) 246-8623
- Fax
- (870) 246-8694
- NPI assigned
- Nov 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 909 | AR | Primary |
Addresses
Primary practice location
3030 Pine St
Arkadelphia, AR 71923-5325
Mailing address
3030 Pine St
Arkadelphia, AR 71923-5325
Phone (870) 246-8623
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141081721 | Medicaid | AR | |
| 56477 | Other | AR | ARKANSAS BCBS |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 909 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkadelphia Physical Therapy Center, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- Arkadelphia, AR
- NPI 1801877659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242345600000",
"number": "1982685723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 PINE ST",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719235325",
"telephone_number": "870-246-8623",
"fax_number": "870-246-8694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 PINE ST",
"city": "ARKADELPHIA",
"state": "AR",
"postal_code": "719235325",
"telephone_number": "870-246-8623",
"fax_number": "870-246-8694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "TODD",
"middle_name": "WILSON",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2009-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT 909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141081721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS BCBS",
"identifier": "56477",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arkadelphia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.