Active NPI
Andrew Paul Genova, PT, DPT, CMTPT, CSCS
- Physical Therapist
- Biddeford, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P14958
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ME
Enrollment records 2
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
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 100
- Quality
- 85.21
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P14958 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activcare Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Greater Brunswick Physical Therapy P.a. | Physical Therapist | Current | 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
- 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.
-
- Physical Therapist
- Topsham, ME
- NPI 1568567659
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.