Geneva Lyn Sevilleno Lei

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-170 Issued in GU

Practice address

133 Route 3
Dededo, GU 96929-6911

Phone

(671) 645-5500

NPI assigned

Dec 8, 2022

Last updated

Aug 24, 2023By the provider in NPPES

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)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Newgen Aesthetics & Wellness, LLC

  dba Newgen Home Health Agency

  • Home Health Agency
  • Tamuning, GU
  • NPI 1417623380

  Physical Therapist

  NPD

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1013628197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "UNIT 100104 BOX 2000",
            "city": "FPO",
            "state": "AP",
            "postal_code": "966670420",
            "telephone_number": "671-482-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ROUTE 3",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969296911",
            "telephone_number": "671-645-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "643 Chalan San Antonio Ste 108",
            "address_purpose": "LOCATION",
            "city": "Tamuning",
            "state": "GU",
            "postal_code": "969133644",
            "country_code": "US",
            "telephone_number": "671-735-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "643 Chalan San Antonio Ste 108",
            "address_purpose": "LOCATION",
            "city": "Tamuning",
            "state": "GU",
            "postal_code": "969133644",
            "country_code": "US",
            "telephone_number": "671-735-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEI",
        "first_name": "GENEVA LYN",
        "middle_name": "SEVILLENO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GU",
            "license": "PT-170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Erin Kruger, NP
• Samuel Scott Larkin
• Scott Robert Larkin, D.C.
• Delores Johanne Lee, M.D.
• Lawrence Lee, D.O.
• Lena Leishman, NP-C, RN, BSN
• Andrea Marie Leitheiser, MA, PHD
• Nancy Lentz, M.D.
• Pei-Chang Liu, M.D., M.P.H
• Virgilio Ignacio Lopez, M.D.

• Physical Therapist in Dededo, GU
• Providers in Dededo, GU by specialty
• Physical Therapist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.