Active NPI
Genevieve Luzano
- Physical Therapist
- Seaford, DE
National Provider Identifier
1255744389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0014435
- Practice address
- 1310 Middleford Rd Ste 101
Seaford, DE 19973-3671 - Phone
- (919) 258-2714
- Fax
- (410) 648-4878
- NPI assigned
- Jun 6, 2014
- Sex
- Female
- 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 | 1288950 | TX | |
| Physical Therapist | 225100000X | 24902 | MD | |
| Physical Therapist | 225100000X | J1-0014435 | DE | Primary |
Addresses
Primary practice location
1310 Middleford Rd Ste 101
Seaford, DE 19973-3671
Mailing address
350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714
Other practice location 1
4922 La Salle Road
Hyattsville, MD 20782
Phone (301) 864-2333 ext. 1059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.27 of 100
- Quality
- 85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24902 | MD | MD | Clinical Social Worker |
| 1288950 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Dynamic Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
| T Med Behavioral Inc | Past | Accepting new patients | |
| Diagnostic Swallowing Services | Past | Accepting new patients |
Locations
1310 Middleford Rd
Ste 101
Seaford, DE 19973
Phone (302) 629-5700
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
Organizations & group practices 4
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
- Seaford, DE
- NPI 1205875093
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- NPI 1225637051
Physical Therapist
-
- Diagnostic Radiology Physician
- Sulphur Springs, TX
- NPI 1750357117
-
- Clinical Psychologist
- Fairfax, VA
- NPI 1497719272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1255744389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NEW FIDELITY CT",
"city": "GARNER",
"state": "NC",
"postal_code": "275292665",
"telephone_number": "919-258-2714",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 MIDDLEFORD RD STE 101",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199733671",
"telephone_number": "919-258-2714",
"fax_number": "410-648-4878"
}
],
"practiceLocations": [
{
"address_1": "4922 La Salle Road",
"address_purpose": "LOCATION",
"city": "Hyattsville",
"state": "MD",
"postal_code": "20782",
"country_code": "US",
"telephone_number": "301-864-2333 x1059",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUZANO",
"first_name": "GENEVIEVE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-06",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1288950",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24902",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0014435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seaford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.