Elise Genet

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

47893 Issued in CA

Practice address

25383 Cole St
Loma Linda, CA 92354-3103

Phone

(909) 796-0235

NPI assigned

Jan 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1013613132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25383 COLE ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543103",
            "telephone_number": "909-796-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENET",
        "first_name": "ELISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "47893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peilin Ge, MD
• Daniel Howard Joseph Gealer
• Gebert Healthcare Associates Inc
• Matthew Gebre, MD
• Ilish Patricia Gedestad, DO, MPH
• David Wayne Gentry, M.D.
• Tanya N Gentry
• Antonela Geraloglou-Tzouglini, DO
• Maria Gerges
• Kelia Rachelle Cook Gerhardt, MD

• Physical Therapy Assistant in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.