Individual provider Active NPI

Andrew Paul Genova, PT, DPT, CMTPT, CSCS

  • Physical Therapist
  • Biddeford, ME
National Provider Identifier
1043623606
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14958 Issued in NC
Practice address
321 Elm St Ste 2
Biddeford, ME 04005-3034
Phone
(207) 571-6742
NPI assigned
Jun 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P14958 NC Primary

Addresses

Primary practice location

321 Elm St Ste 2
Biddeford, ME 04005-3034

Mailing address

103 Parkway Office CT Ste 102
Cary, NC 27518-7429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141208001690 NC Practitioner - Physical Therapist in Private Practice 9335461003 Reassigns benefits to 1 organization
I20240816002827 ME Practitioner - Physical Therapist in Private Practice 9335461003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Brunswick Physical Therapy PAGroup PAC ID 8426019621, 17 clinicians

Practice addresses (Care Compare)

321 Elm St
Suite 2
Biddeford, ME 04005-3034
Phone (207) 571-6742

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
85.21
Promoting interoperability
99
Improvement activities
40
Cost
77.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P14958NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Activcare Physical Therapy, LLC Physical Therapist CurrentSince Nov 16, 2015 Accepting new patients
Greater Brunswick Physical Therapy P.a. Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

703 Granite St
Ste 3
Braintree, MA 02184

321 Elm St
Ste 2
Biddeford, ME 04005
Phone (207) 571-6742

1364 Congress St
Portland, ME 04102
Phone (207) 204-5005

11 Bowdoin Mill Is
Ste 260
Topsham, ME 04086
Phone (207) 729-1164

68 Crossroad Hill Rd
Canton, NC 28716
Phone (828) 492-0592

103 Parkway Office Ct
Ste 102
Cary, NC 27518
Phone (919) 615-3527

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

Interoperability endpoints

  • Direct secure messaging: andrew.genova.p12@direct.athleticoltd.nextgenshare.com

Organizations & group practices 2

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1043623606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PARKWAY OFFICE CT STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 ELM ST STE 2",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053034",
            "telephone_number": "207-571-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENOVA",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "credential": "PT, DPT, CMTPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.