Active NPI
Geane Herl Boado Valdez
- Physical Therapist
- Loveland, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP030264T
- Practice address
- 3880 Grant Ave Ste 100
Loveland, CO 80538-8433 - Phone
- (970) 663-7780
- NPI assigned
- Aug 13, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28587 | MD | |
| Physical Therapist | 225100000X | CP026015T | SC | |
| Physical Therapist | 225100000X | CP030264T | CO | Primary |
Addresses
Primary practice location
3880 Grant Ave Ste 100
Loveland, CO 80538-8433
Mailing address
3880 Grant Ave Ste 100
Loveland, CO 80538-8433
Other practice location 1
75 W Wesmark Blvd
Sumter, SC 29150-1955
Phone (803) 938-5395
Other practice location 2
2618 N Salisbury Blvd
Salisbury, MD 21801-2194
Phone (410) 324-7409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, SC
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP030264T | CO | MD | Physical Therapist |
| 28587 | MD | MD | Physical Therapist |
| CP026015T | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Physical Therapy and Sports Medicine, Inc. | Current | Accepting new patients | |
| Maryland Sportscare & Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Carolina Physical Therapy and Sports Medicine Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Sage Physical Therapy & Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Maryland Sportscare & Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Sports Physical Therapy of Towson, P.a. | Physical Therapist | Past | Accepting new patients |
Locations
9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761
141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478
25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300
7801 York Rd
Ste 236
Towson, MD 21204
Phone (410) 583-0333
3536A Urbana Pike
Urbana, MD 21704
Phone (301) 874-9200
141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484
75 W Wesmark Blvd
Sumter, SC 29150
Phone (800) 456-5857
Organizations & group practices 6
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
- Columbia, SC
- NPI 1487180881
-
- Physical Therapy Clinic/Center
- Cambridge, MD
- NPI 1467757575
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Columbia, SC
- NPI 1952491490
-
- Physical Therapist
- Westminster, MD
- NPI 1720445174
-
- Physical Therapist
- Towson, MD
- NPI 1770650392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1124793880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 GRANT AVE STE 100",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805388433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 GRANT AVE STE 100",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805388433",
"telephone_number": "970-663-7780"
}
],
"practiceLocations": [
{
"address_1": "75 W Wesmark Blvd",
"address_purpose": "LOCATION",
"city": "Sumter",
"state": "SC",
"postal_code": "291501955",
"country_code": "US",
"telephone_number": "803-938-5395",
"fax_number": "803-938-5396",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2618 N Salisbury Blvd",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218012194",
"country_code": "US",
"telephone_number": "410-324-7409",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALDEZ",
"first_name": "GEANE HERL",
"middle_name": "BOADO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-13",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "28587",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "CP026015T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "CP030264T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.