Individual provider Active NPI

George J Joseph III, DPT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1982990255
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013397 Issued in OH
Practice address
463 Ohio Pike
Suite 203
Cincinnati, OH 45255-3721
Phone
(513) 247-4340
Fax
(513) 247-4360
NPI assigned
Jun 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT005825 KY
Physical Therapist 225100000X PT013397 OH Primary

Addresses

Primary practice location

463 Ohio Pike
Suite 203
Cincinnati, OH 45255-3721

Mailing address

463 Ohio Pike
Suite 203
Cincinnati, OH 45255-3721
Phone (513) 247-4340

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160719000641 FL Practitioner - Physical Therapist in Private Practice 7719165166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Venice Physical Therapy and Sports Medicine IncGroup PAC ID 5890100127, 3 clinicians

Practice addresses (Care Compare)

201 Ctr Rd
Suite 200
Venice, FL 34285-5580
Phone (941) 408-7476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT005825KYMDPhysical Therapist
PT013397OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Venice Physical Therapy and Sports Medicine Inc CurrentSince Jan 1, 2021 Accepting new patients
Rick Haupt Physical Therapy Inc Physical Therapist CurrentSince Jun 1, 2016 Accepting new patients
Progressive Rehabilitation Agency, Inc. PastSince Jan 1, 2021 Accepting new patients

Locations

2620 S Tamiami Trl
Fl 3
Sarasota, FL 34239

2620 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 758-3140

2999 S Tamiami Trl
Ste 2
Sarasota, FL 34239
Phone (941) 955-1239

1776 S Tamiami Trl
Venice, FL 34293
Phone (941) 408-7476

201 Center Rd
Ste 200
Venice, FL 34285
Phone (941) 408-7476

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1982990255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 OHIO PIKE",
            "address_2": "SUITE 203",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553721",
            "telephone_number": "513-247-4340",
            "fax_number": "513-247-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 OHIO PIKE",
            "address_2": "SUITE 203",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553721",
            "telephone_number": "513-247-4340",
            "fax_number": "513-247-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH III",
        "first_name": "GEORGE",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT005825",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT013397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.