GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC. – Physical Therapy Clinic/Center, NPI 1144704065

GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC. is a healthcare provider. based in Saint george, Utah. specializing in Physical Therapy Clinic/Center. The NPI Number for GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC. is 1144704065

Main info

Organization
Name
GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC.
NPI
1144704065
Phone
(845) 464-6383
Address
2053 W 1820 N
Authorized Official
TOM D BENOLERAO OWNER PT
Enumeration Date
17 September 2018
Last Update Date
15 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:7State licenses:0Digital endpointsOther names

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Provider Addresses for GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC.

  • 2053, West 1820 North, St. George, Washington County, Utah, 84770, United States

    SAINT GEORGE, UT 847704856

    Phone: (845) 464-6383

    Type: Location

  • 616 S RIVER RD STE 230

    ST GEORGE, UT 847902154

    Phone: (435) 429-6887

    Fax: (435) 429-2838

    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: 2019-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-11-30 (196 days ago).

Enrollment records

1

Earliest due date

2025-11-30

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
O20190121001419OClinic/Group PracticeUT2025-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 84770)

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Reviews

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Frequently asked questions

Is GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC. listed with a National Provider Identifier?
Yes — GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC. has NPI 1144704065 on file in the registry.
Would GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC. appear as active to a payer?
You can treat GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC. as active for directory purposes; confirm clinical privileges separately.
How would a patient describe GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC.'s focus?
For GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC., the primary taxonomy reads as Physical Therapy Clinic/Center. Clinical services aligned with this taxonomy classification.
Is GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC. located near Saint George?
GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC. currently maps to Saint George, Utah in this extract.
When was this NPI issued?
Enumeration for GREATER ST GEORGE PHYSICAL THERAPY AND WELLNESS, INC. is noted as September 17, 2018 where the registry provides it.

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