Active NPI
Emmanuelle Twarogowski Genna, PT
- Physical Therapist
- Boardman, OH
National Provider Identifier
1316190036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012720
- Practice address
- 7620 Southern Blvd
Ste 3
Boardman, OH 44512-5667 - Phone
- (330) 965-9330
- Fax
- (330) 965-9308
- NPI assigned
- Oct 25, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22501 | MD | |
| Physical Therapist | 225100000X | PT012720 | OH | Primary |
Addresses
Primary practice location
7620 Southern Blvd
Ste 3
Boardman, OH 44512-5667
Mailing address
7620 Southern Blvd
Ste 3
Boardman, OH 44512-5667
Phone (330) 965-9330
Other names 1
- Emmanuelle Twarogowski Twarogowski
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22501 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwoods Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1316190036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7620 SOUTHERN BLVD",
"address_2": "STE 3",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125667",
"telephone_number": "330-965-9330",
"fax_number": "330-965-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7620 SOUTHERN BLVD",
"address_2": "STE 3",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445125667",
"telephone_number": "330-965-9330",
"fax_number": "330-965-9308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENNA",
"first_name": "EMMANUELLE",
"middle_name": "TWAROGOWSKI",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-25",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22501",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT012720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMMANUELLE",
"last_name": "TWAROGOWSKI",
"middle_name": "TWAROGOWSKI",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.