Lisa M Gennett, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0263781 Issued in NY

Practice address

41 Arterial PLZ
Suite 15B
Gloversville, NY 12078-2512

Phone

(518) 773-2300

Fax

(518) 773-2334

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Community Physical Therapy & Wellness PC

  • Physical Therapist
  • Gloversville, NY
  • NPI 1083800163
  NPD (past)
• Joan M Mack RPT

  • Physical Therapist
  • Schenectady, NY
  • NPI 1841289865
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1336182617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120780009",
            "telephone_number": "518-773-2300",
            "fax_number": "518-773-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ARTERIAL PLZ",
            "address_2": "SUITE 15B",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120782512",
            "telephone_number": "518-773-2300",
            "fax_number": "518-773-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNETT",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0263781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria M Gardiner, PT
• Dana Garguilo
• Mikayla Becker Garren, LMHC
• Elizabeth Gates, LMSW
• Amanda Cortney Gatto, MS, MHC-LP
• Genoa Healthcare LLC
• Taylor Lee Gifford
• Obafemi O Giwa-Amu, M.D.
• Keira Glasheen, AU.D.
• John L Glenn, MD

• Physical Therapist in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.