MR. GEORGE M JR. FATULA (DPT) – Physical Therapist, NPI 1407073455

MR. GEORGE M JR. FATULA (DPT) is a healthcare provider. based in Du bois, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT009793L (PA). The NPI Number for MR. GEORGE M JR. FATULA (DPT) is 1407073455

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. GEORGE M JR. FATULA (DPT)
NPI
1407073455
Phone
(814) 375-8799
Address
98 DON ST
Enumeration Date
19 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2819988600
Graduation Year
2004 (22 years ago)
PAC ID
3274029640
Group Practice PAC ID
8022926492
Professional Enrollment ID
I20260106001762
Address ID
TX775043337PA4600XPKWY302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for MR. GEORGE M JR. FATULA (DPT)

  • 98 DON ST

    DU BOIS, PA 158013448

    Phone: (814) 375-8799

    Fax: (814) 375-3049

    Type: Mailing

  • 127 N BRADY ST

    DU BOIS, PA 158012227

    Phone: (814) 375-9615

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260106001762IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15801)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022926492View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeIN
-TX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
-TX
Physical Therapist In Private PracticeTX
-TX
-TX

Reviews

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Frequently asked questions

Is there an official ID for MR. GEORGE M JR. FATULA (DPT) in U.S. healthcare records?
The official identifier for MR. GEORGE M JR. FATULA (DPT) is NPI 1407073455.
Is there an active status for MR. GEORGE M JR. FATULA (DPT)?
For scheduling context, MR. GEORGE M JR. FATULA (DPT) is shown as active in the registry.
What kind of doctor is MR. GEORGE M JR. FATULA (DPT)?
MR. GEORGE M JR. FATULA (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. GEORGE M JR. FATULA (DPT)?
Travel planning: use Du Bois, Pennsylvania as the reference point for MR. GEORGE M JR. FATULA (DPT), then confirm.
Does MR. GEORGE M JR. FATULA (DPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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