Active NPI
Genevieve Potato
- Physical Therapist
- Pearland, TX
National Provider Identifier
1235619677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1226383
- Practice address
- 2750 Miller Ranch Rd
Pearland, TX 77584 - Phone
- (713) 770-5300
- NPI assigned
- Aug 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 1226383 | Primary |
Addresses
Primary practice location
2750 Miller Ranch Rd
Pearland, TX 77584
Mailing address
13503 Durango Pass Dr
Pearland, TX 77584-1781
Phone (989) 305-1363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534550400000",
"number": "1235619677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13503 DURANGO PASS DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775841781",
"telephone_number": "989-305-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 MILLER RANCH RD",
"city": "PEARLAND",
"state": "TX",
"postal_code": "77584",
"telephone_number": "713-770-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTATO",
"first_name": "GENEVIEVE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2018-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": "1226383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.