Individual provider Active NPI

Mary Beth Genday, PT

  • Physical Therapist
  • Greenwood, IN
National Provider Identifier
1174658140
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05008683A Issued in IN
Practice address
637 S State Road 135
Ste C
Greenwood, IN 46142-1443
Phone
(317) 865-1110
NPI assigned
Feb 22, 2007
Last updated
Dec 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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 05008683A IN Primary

Addresses

Primary practice location

637 S State Road 135
Ste C
Greenwood, IN 46142-1443

Mailing address

2173 Bodine PL
Greenwood, IN 46143-9372
Phone (317) 885-1264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220705000075 TN Practitioner - Physical Therapist in Private Practice 4486889136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2010 Jacksboro Pike
Suite 9
La Follette, TN 37766-3023
Phone (317) 409-2073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Better Way Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2022 Accepting new patients

Locations

2010 Jacksboro Pike
Ste 9
La Follette, TN 37766
Phone (317) 409-2073

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1174658140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2173 BODINE PL",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461439372",
            "telephone_number": "317-885-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 S STATE ROAD 135",
            "address_2": "STE C",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421443",
            "telephone_number": "317-865-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDAY",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008683A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.